Individual provider Active NPI

Nina D Bhar, O.D.

  • Optometrist
  • Romeoville, IL
National Provider Identifier
1043373939
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
46-008591 Issued in IL
Practice address
388 S. Weber Rd
Romeoville, IL 60446
Phone
(815) 609-6300
Fax
(815) 609-6330
NPI assigned
Dec 19, 2006
Last updated
Jan 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 46-008591 IL Primary

Addresses

Primary practice location

388 S. Weber Rd
Romeoville, IL 60446

Mailing address

388 S. Weber Rd.
Romeoville, IL 60446
Phone (815) 609-6300

Other names 1

  • Ms. Patricia McCoy Other name

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
I20070601000489 IL Practitioner - Optometry 8224136056 Reassigns benefits to 1 organization
Practice locations: Ottawa, IL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4041 Veterans Dr
Ottawa, IL 61350-9602
Phone (815) 431-1972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46-008591ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nayon Eye Center Inc Optometrist CurrentSince May 18, 2015 Accepting new patients
Cole Vision Corporation Optometrist Past Accepting new patients

Locations

4041 Veterans Dr
Ottawa, IL 61350
Phone (815) 431-1972

Organizations & group practices 2

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1043373939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 S. WEBER RD.",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "60446",
            "telephone_number": "815-609-6300",
            "fax_number": "815-609-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 S. WEBER RD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "60446",
            "telephone_number": "815-609-6300",
            "fax_number": "815-609-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAR",
        "first_name": "NINA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46-008591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MCCOY",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Romeoville, IL

Sources for this page

Verify at the official NPI Registry.