Active NPI
Sofia N Syed, O.D.
- Optometrist
- West Dundee, IL
National Provider Identifier
1053577577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046010083
- Practice address
- 1520 Spring Hill Mall
West Dundee, IL 60118-1266 - Phone
- (847) 426-3198
- NPI assigned
- Aug 4, 2008
- 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 | 046010083 | IL | Primary |
Addresses
Primary practice location
1520 Spring Hill Mall
West Dundee, IL 60118-1266
Mailing address
1520 Spring Hill Mall
West Dundee, IL 60118-1266
Phone (847) 426-3198
Other names 1
- Sofia N Quadri
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046010083 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc. | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217808000000",
"number": "1053577577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 SPRING HILL MALL",
"city": "WEST DUNDEE",
"state": "IL",
"postal_code": "601181266",
"telephone_number": "847-426-3198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 SPRING HILL MALL",
"city": "WEST DUNDEE",
"state": "IL",
"postal_code": "601181266",
"telephone_number": "847-426-3198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYED",
"first_name": "SOFIA",
"middle_name": "N",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2008-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046010083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOFIA",
"last_name": "QUADRI",
"middle_name": "N",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Dundee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.