Active NPI
Sabrina D'Haiti, OD
- Optometrist
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.011473
- Practice address
- 635 Chicago Ave
Evanston, IL 60202-2365 - Phone
- (847) 864-8209
- NPI assigned
- Sep 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046.011473 | IL | Primary |
Addresses
Primary practice location
635 Chicago Ave
Evanston, IL 60202-2365
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Other practice location 1
55 E Main St
Roselle, IL 60172-2076
Phone (630) 529-0993
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 E Main St
Roselle, IL 60172-2076
Phone (630) 529-0993
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.011473 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Past | Accepting new patients |
Locations
5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020
3627 N Western Ave
Chicago, IL 60618
Phone (773) 525-2022
1114 W Devon Ave
Elk Grove Village, IL 60007
Phone (847) 895-7222
138 N York St
Elmhurst, IL 60126
Phone (630) 279-2020
146 Center St
Ste 200
Grayslake, IL 60030
Phone (773) 736-6800
950 W State Route 22
Lake Zurich, IL 60047
Phone (847) 726-2020
55 E Main St
Roselle, IL 60172
Phone (630) 529-0993
1979 Huntley Rd
West Dundee, IL 60118
Phone (847) 836-2020
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Interoperability endpoints
- sdhaiti020219@myeyedr.emadirect.md
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 and National Provider Directory roles.
-
- Optometrist
- Chicago, IL
- NPI 1245695378
-
- Optometrist
- Chicago, IL
- NPI 1154297752
-
- Optometrist
- Chicago, IL
- NPI 1891150702
-
- Optometrist
- Evanston, IL
- NPI 1396100434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1033725114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 CHICAGO AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602022365",
"telephone_number": "847-864-8209"
}
],
"practiceLocations": [
{
"address_1": "55 E Main St",
"address_purpose": "LOCATION",
"city": "Roselle",
"state": "IL",
"postal_code": "601722076",
"country_code": "US",
"telephone_number": "630-529-0993",
"fax_number": "630-529-1220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "D'HAITI",
"first_name": "SABRINA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-23",
"last_updated": "2021-03-25",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.011473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.