Individual provider Active NPI

Paras Patel, OD

  • Optometrist
  • Villa Park, IL
National Provider Identifier
1134727860
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009258 Issued in NY
Practice address
900 Il-83
Villa Park, IL 60181
Phone
(630) 530-5303
NPI assigned
Oct 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 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 009258 NY Primary

Addresses

Primary practice location

900 Il-83
Villa Park, IL 60181

Mailing address

2029 Baldwin CT
Glendale Heights, IL 60139-1810

Other practice location 1

2500 Harlem Ave
North Riverside, IL 60546-1415
Phone (708) 853-1032

Other practice location 2

27W185 Geneva Rd
Winfield, IL 60190-2058
Phone (630) 668-2020

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
I20211109002806 IL Practitioner - Optometry 4385033596 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009258NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Optical Co. Inc. Optometrist CurrentSince Oct 4, 2021 Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Oct 4, 2021 Accepting new patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Patel Vision LLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Interstate Optical LBR Inc CurrentSince Oct 17, 2023 Accepting new patients
United Eye Care Providers, LLC Optometrist PastSince Dec 15, 2021 Accepting new patients

Locations

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

9612 Willow Ln
Mokena, IL 60448
Phone (708) 479-0000

Organizations & group practices 7

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": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1134727860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 BALDWIN CT",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 IL-83",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-530-5303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Harlem Ave",
            "address_purpose": "LOCATION",
            "city": "North Riverside",
            "state": "IL",
            "postal_code": "605461415",
            "country_code": "US",
            "telephone_number": "708-853-1032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27W185 Geneva Rd",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601902058",
            "country_code": "US",
            "telephone_number": "630-668-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PARAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-14",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, IL

Sources for this page

Verify at the official NPI Registry.