Organization Active NPI

Sarah Bahl, O.D., P.C.

  • Optometrist
  • Plainfield, IL
National Provider Identifier
1033784707
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SARAH BAHL, O.D., P.C.
Practice address
16261 S Boulevard PL
Plainfield, IL 60586-4400
Phone
(815) 676-1185
NPI assigned
May 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Sarah Bahl, ODNPI 1770814535
Title
Officer / Owner
Phone
(574) 361-9757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

16261 S Boulevard PL
Plainfield, IL 60586-4400

Mailing address

1012 White Pine LN
Western Springs, IL 60558-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210709002043 IL Part B Supplier - Clinic/Group Practice 3173925344 Receives reassigned benefits from 3 practitioners
Practice locations: Plainfield, IL; Yorkville, IL

National Provider Directory

National Provider Directory

Locations

16261 S Boulevard Pl
Plainfield, IL 60586
Phone (815) 676-1170

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1033784707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 WHITE PINE LN",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605584000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16261 S BOULEVARD PL",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605864400",
            "telephone_number": "815-676-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH BAHL, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "BAHL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OFFICER / OWNER",
        "authorized_official_telephone_number": "574-361-9757",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.