Individual provider Active NPI

Hina N Patel, O.D.

  • Optometrist
  • Oakbrook Terrace, IL
National Provider Identifier
1053603837
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010513 Issued in IL
Practice address
17W615 Butterfield Rd
Oakbrook Terrace, IL 60181-4001
Phone
(630) 853-9679
NPI assigned
May 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010513 IL Primary
Optometrist 152W00000X OPC 004541 FL

Addresses

Primary practice location

17W615 Butterfield Rd
Oakbrook Terrace, IL 60181-4001

Mailing address

2116 Oakdale Cir
Bartlett, IL 60133-8802
Phone (630) 853-9679

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
I20120918000613 IL Practitioner - Optometry 9335397298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17 W615 Butterfield Rd
Oakbrook Terrace, IL 60181-4001
Phone (630) 519-6060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 004541FLMDOptometrist
046.010513ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Yorktown Optometry LLC Current Accepting new patients
Eyes on Butterfield LLC Optometrist CurrentSince Aug 30, 2021 Accepting new patients
Eyes on Butterfield LLC Past Accepting new patients
Eyes on Butterfield Past Accepting new patients

Locations

60 Yorktown Shopping Ctr
Lombard, IL 60148
Phone (630) 282-1048

17W615 Butterfield Rd
Oakbrook Terrace, IL 60181
Phone (630) 519-6060

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.

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1053603837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 OAKDALE CIR",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601338802",
            "telephone_number": "630-853-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W615 BUTTERFIELD RD",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814001",
            "telephone_number": "630-853-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HINA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010513",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 004541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

Verify at the official NPI Registry.