Nina D Bhar, O.D.
Individual provider Active NPI Optometrist · Romeoville, IL
NPI 1043373939 · NPPES record last updated Jan 5, 2012
Key facts
- NPI
- 1043373939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 46-008591 (IL)
- Practice address
- 388 S. Weber Rd
Romeoville, IL 60446 - Phone
- (815) 609-6300
- Fax
- (815) 609-6330
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070601000489 | IL | Practitioner - Optometry | 8224136056 |
Reassigns benefits to 1 organization Practice locations: Ottawa, IL |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46-008591 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nayon Eye Center Inc | Optometrist | Current |
Accepting new patients |
| Cole Vision Corporation | Optometrist | Past | Accepting new patients |
Locations
4041 Veterans Dr
Ottawa, IL 61350
Phone (815) 431-1972
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 46-008591 | IL | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046008591 | Medicaid | IL |
Other names
- Ms. Patricia McCoy
Other providers in Romeoville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.