Shah Vision Consultants Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009516 Issued in IL

Legal business name

SHAH VISION CONSULTANTS INC

Practice address

575 S Perryville Rd
Rockford, IL 61108-2530

Phone

(815) 315-9358

Fax

(815) 315-9358

NPI assigned

Dec 21, 2010

Last updated

Jul 14, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Prayag Shah, O.D.NPI 1720072184

Title

Owner/Optometrist

Phone

(815) 315-9358

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, IL2 enrollments

Enrollment records 2

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Prayag D Shah, OD

  • Optometrist
  • Rockford, IL
  • NPI 1720072184

  WI

  Medicare reassignment Care Compare group Authorized official
• Tijana Markovic, OD

  • Optometrist
  • Rockford, IL
  • NPI 1609603448

  WI

  Medicare reassignment Care Compare group NPD
• Param Jeet Singh, O.D.

  • Optometrist
  • Pontiac, IL
  • NPI 1306931498
  Medicare reassignment Care Compare group NPD
• Dixit Patel, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1982076683
  Medicare reassignment NPD
• Constance S Copeland, OD, PHD

  • Optometrist
  • Rockford, IL
  • NPI 1508857202

  WI

  Medicare reassignment
• Chad R Slagle, O.D.

  • Optometrist
  • Rockford, IL
  • NPI 1093157992

  WI

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1003119694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S PERRYVILLE RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082530",
            "telephone_number": "815-315-9358",
            "fax_number": "815-315-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S PERRYVILLE RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082530",
            "telephone_number": "815-315-9358",
            "fax_number": "815-315-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH VISION CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PRAYAG",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "815-315-9358",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Seyfert
• Vanessa Michele Shabani
• Emma Shackleton, LCPC
• Obaid Shafiq, MD
• Shah Foot & Ankle LLC (Seeber Foot & Ankle Ltd)
• Anshul Mikin Shah
• Aruna S Shah, M.D.
• Biren Shah, DPM
• Nikhar D Shah
• Nishith Shah, M.D.

• Optometrist in Rockford, IL
• Providers in Rockford, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.