Active NPI
Saba F Ahmed, O.D.
- Optometrist
- River Forest, IL
National Provider Identifier
1063768265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-010595
- Practice address
- 7345 Lake St
River Forest, IL 60305-2206 - Phone
- (708) 771-0769
- NPI assigned
- Jul 25, 2012
- Last updated
- Jul 25, 2012
- 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 | 046-010595 | IL | Primary |
Addresses
Primary practice location
7345 Lake St
River Forest, IL 60305-2206
Mailing address
7345 Lake St
River Forest, IL 60305-2206
Phone (708) 771-0769
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients |
Interoperability endpoints
- saba.ahmed.1@26824.direct.athenahealth.com
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": "1343174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1063768265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7345 LAKE ST",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603052206",
"telephone_number": "708-771-0769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7345 LAKE ST",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603052206",
"telephone_number": "708-771-0769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "SABA",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-25",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-010595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in River Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.