Grishma Premal Patel, O.D.
Individual provider Active NPI Optometrist · Wheaton, IL
NPI 1164622874 · NPPES record last updated Feb 21, 2024
Key facts
- NPI
- 1164622874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 046009678 (IL)
- Practice address
- 1325 N Main St
Wheaton, IL 60187-3579 - Phone
- (630) 668-4144
- Fax
- (630) 668-7559
- NPI assigned
- Jul 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Eyecare of Hanover Park Corp
Grishma P. Patel, O.D. and Associates, P.C.
Advanced Eyecare of Riverwoods Corp
Advanced Eyecare South Holland OD and Associates PC
Practice addresses (Care Compare)
1156 E Lake St
Hanover Park, IL 60133-5421
Phone (630) 855-5542
1325 N Main St
Wheaton, IL 60187-3579
Phone (630) 668-4144
155 Park Ave
Suite B
Cary, IL 60013-2793
Phone (847) 639-7446
2013 Milwaukee Ave
Riverwoods, IL 60015-3581
Phone (224) 676-1022
2720 169TH St
Hammond, IN 46323-1508
Phone (219) 845-2020
833 N Roselle Rd
Roselle, IL 60172-4212
Phone (630) 351-0085
835 E 162ND St
South Holland, IL 60473-2465
Phone (708) 333-4444
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041220000460 | IL | Practitioner - Optometry | 7719944974 | Reassigns benefits to 5 organizations |
| I20091216000320 | IN | Practitioner - Optometry | 7719944974 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046009678 | IL | MD | Optometrist |
| 046-009678 | IL | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Eyecare South Holland OD and Associates PC | Optometrist | Current |
Accepting new patients |
| Advanced Eyecare of Hanover Park, Corp. | Optometrist | Current |
Accepting new patients |
| Grishma P. Patel, O.D. & Associates, P.C. | Optometrist | Current |
Accepting new patients |
| Advanced Eyecare of Riverwoods Corp | Optometrist | Current |
Accepting new patients |
| University Eye Institute PC | Optometrist | Current |
Accepting new patients |
| Advanced Eyecare of Arlington Heights Corp | Optometrist | Current |
Accepting new patients |
| Eye Place of Schaumburg LLC | Optometrist | Past |
Accepting new patients |
| Future Vision Eyecare Inc | Optometrist | Past |
Accepting new patients |
| Jasper Gulotta | Optometrist | Past |
Accepting new patients |
| Special Eyes | Optometrist | Past | Accepting new patients |
Locations
27 S Vail Ave
Ste 1840
Arlington Heights, IL 60005
27 S Vail Ave
#1840
Arlington Hts, IL 60005
Phone (847) 368-9800
155 Park Ave
Ste B
Cary, IL 60013
Phone (847) 639-5855
1156 E Lake St
Hanover Park, IL 60133
Phone (630) 855-5542
2013 Milwaukee Ave
Riverwoods, IL 60015
Phone (224) 676-1022
833 N Roselle Rd
Roselle, IL 60172
Phone (630) 351-0085
835 E 162nd St
South Holland, IL 60473
Phone (312) 333-4444
1325 N Main St
Wheaton, IL 60187
Phone (630) 668-4144
2720 169th St
Hammond, IN 46323
Phone (219) 845-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 046-009678 | IL | |
| Optometrist | 152W00000X | 046009678 | IL | Yes |
Addresses
Primary practice location
1325 N Main St
Wheaton, IL 60187-3579
Mailing address
1325 N Main St
Wheaton, IL 60187-3579
Phone (630) 668-4144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046009678 | Medicaid | IL |
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.