Individual provider Active NPI

Biren Patel, OD

  • Optometrist
  • Glendale Heights, IL
National Provider Identifier
1124627880
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011478 Issued in IL
Practice address
1824 Churchill LN
Glendale Heights, IL 60139-1303
Phone
(630) 998-0948
Fax
(312) 878-5608
NPI assigned
Oct 22, 2020
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011478 IL Primary

Addresses

Primary practice location

1824 Churchill LN
Glendale Heights, IL 60139-1303

Mailing address

1824 Churchill LN
Glendale Heights, IL 60139-1303
Phone (630) 998-0948

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
I20230125003088 IL Practitioner - Optometry 4981075132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1824 Churchill LN
Glendale Heights, IL 60139-1303
Phone (630) 456-0785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011478ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Biren Patel Optometry LLC Optometrist CurrentSince Nov 29, 2022 Accepting new patients

Organizations & group practices 1

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": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1124627880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 CHURCHILL LN",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391303",
            "telephone_number": "630-998-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 CHURCHILL LN",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391303",
            "telephone_number": "630-998-0948",
            "fax_number": "312-878-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BIREN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-22",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

Verify at the official NPI Registry.