Individual provider Active NPI

Payal Patel, O.D.

  • Optometrist
  • Crystal Lake, IL
National Provider Identifier
1013158674
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13663 Issued in CA
Practice address
5765 Northwest Hwy
Visionworks
Crystal Lake, IL 60014-8042
Phone
(847) 791-0396
NPI assigned
Mar 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13663 CA Primary

Addresses

Primary practice location

5765 Northwest Hwy
Visionworks
Crystal Lake, IL 60014-8042

Mailing address

5765 Northwest Hwy
Crystal Lake, IL 60014-8042
Phone (847) 791-0396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090820000677 IL Practitioner - Optometry 1355495623 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grishma P. Patel, O.D. and Associates, P.C.Group PAC ID 0042350662, 5 clinicians

Practice addresses (Care Compare)

833 N Roselle Rd
Roselle, IL 60172-4212
Phone (630) 351-0085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grayslake Eyecare Assoc LTD Optometrist CurrentSince Aug 25, 2021 Accepting new patients
Antioch Eyecare LLC Optometrist CurrentSince Aug 25, 2021 Accepting new patients
Grishma P. Patel, O.D. & Associates, P.C. Optometrist CurrentSince Aug 10, 2024 Accepting new patients
Visionworks Inc Past Accepting new patients
United Eye Care Providers, LLC Optometrist PastSince Dec 15, 2021 Accepting new patients
Visionworks, Inc Past Accepting new patients
Visionworks, Inc. Optometrist PastSince Mar 17, 2018 Accepting new patients

Locations

735 Main St
Antioch, IL 60002
Phone (847) 395-8885

155 Park Ave
Ste B
Cary, IL 60013
Phone (847) 639-5855

661 N Lake St
Grayslake, IL 60030
Phone (847) 223-7600

833 N Roselle Rd
Roselle, IL 60172
Phone (630) 351-0085

1325 N Main St
Wheaton, IL 60187
Phone (630) 668-4144

Networks

  • IL HMO C-SNP
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • IL PPO Downstate

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1013158674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5765 NORTHWEST HWY",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148042",
            "telephone_number": "847-791-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5765 NORTHWEST HWY",
            "address_2": "VISIONWORKS",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148042",
            "telephone_number": "847-791-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PAYAL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.