Individual provider Active NPI

Sara Nisar, OD

  • Optometrist
  • Glen Ellyn, IL
National Provider Identifier
1013498278
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011232 Issued in IL
Practice address
3S100 Route 53
Glen Ellyn, IL 60137
Phone
(630) 545-1090
NPI assigned
Aug 27, 2018
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 046.011232 IL
Optometrist 152W00000X 046.011232 IL Primary

Addresses

Primary practice location

3S100 Route 53
Glen Ellyn, IL 60137

Mailing address

2105 W Silverleaf CT
Addison, IL 60101-6403
Phone (630) 901-8055

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
I20190927001614 IL Practitioner - Optometry 5395075790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christina J. Levi O D P C.Group PAC ID 9436210762, 63 clinicians

Practice addresses (Care Compare)

12306 S Harlem Ave
Palos Heights, IL 60463-2450
Phone (708) 636-5115

Merit-based Incentive Payment System (MIPS)

Final score
93.92 of 100Reported as group
Quality
98.66
Improvement activities
40
Cost
81.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011232ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Square Optical Optometrist Current Accepting new patients
Amani Optometry LLC Optometrist Current Accepting new patients
Christina J. Levi O D P C Optometrist CurrentSince Nov 11, 2024 Accepting new patients
Christina J. Levi O D P C Optometrist Past Accepting new patients

Locations

2100 Troy Rd
Edwardsville, IL 62025
Phone (618) 656-8888

3S100 State Route 53
Glen Ellyn, IL 60137
Phone (630) 545-1080

12306 S Harlem Ave
Ste 102
Palos Heights, IL 60463
Phone (708) 546-3786

Networks

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

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1013498278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 W SILVERLEAF CT",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601016403",
            "telephone_number": "630-901-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3S100 ROUTE 53",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "60137",
            "telephone_number": "630-545-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISAR",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "046.011232",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

Verify at the official NPI Registry.