Individual provider Active NPI

David Sheade, O.D.

  • Optometrist
  • Glenview, IL
National Provider Identifier
1114214160
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010431 Issued in IL
Practice address
1527 Waukegan Rd Ste B
Glenview, IL 60025-2180
Phone
(847) 998-4737
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010431 IL Primary

Addresses

Primary practice location

1527 Waukegan Rd Ste B
Glenview, IL 60025-2180

Mailing address

2640 Greenwood Ave
Highland Park, IL 60035-1354
Phone (847) 436-4223

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
I20111010000226 IL Practitioner - Optometry 5799957064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1527 Waukegan Rd
Suite B
Glenview, IL 60025-2180
Phone (847) 998-4737

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.010431ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheade, P.C. Optometrist CurrentSince Mar 1, 2017 Accepting new patients
United Eye Care Providers, LLC Optometrist Past Accepting new patients
Count Enterprises, LLC - Retail Series Optometrist PastSince Jan 1, 2023 Accepting new patients

Locations

1005 Harlem Ave
Glenview, IL 60025
Phone (847) 998-4737

1527 Waukegan Rd
Ste B
Glenview, IL 60025
Phone (847) 998-4737

Organizations & group practices 3

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1114214160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 GREENWOOD AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351354",
            "telephone_number": "847-436-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 WAUKEGAN RD STE B",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252180",
            "telephone_number": "847-998-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEADE",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.