Individual provider Active NPI

Grishma Premal Patel, O.D.

  • Optometrist
  • Wheaton, IL
National Provider Identifier
1164622874
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009678 Issued in IL
Practice address
1325 N Main St
Wheaton, IL 60187-3579
Phone
(630) 668-4144
Fax
(630) 668-7559
NPI assigned
Jul 20, 2007
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 046-009678 IL
Optometrist 152W00000X 046009678 IL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041220000460 IL Practitioner - Optometry 7719944974 Reassigns benefits to 5 organizations
I20091216000320 IN Practitioner - Optometry 7719944974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 CorpGroup PAC ID 9537526173, 2 clinicians
Grishma P. Patel, O.D. and Associates, P.C.Group PAC ID 0042350662, 5 clinicians
Advanced Eyecare of Riverwoods CorpGroup PAC ID 3577004126, 2 clinicians
Advanced Eyecare South Holland OD and Associates PCGroup PAC ID 3779868302, 2 clinicians

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046009678ILMDOptometrist
046-009678ILMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eyecare of Riverwoods Corp Optometrist CurrentSince Jul 6, 2024 Accepting new patients
Grishma P. Patel, O.D. & Associates, P.C. Optometrist CurrentSince Nov 1, 2009 Accepting new patients
Advanced Eyecare of Arlington Heights Corp Optometrist CurrentSince Jul 1, 2021 Accepting new patients
University Eye Institute PC Optometrist CurrentSince Apr 30, 2003 Accepting new patients
Advanced Eyecare of Hanover Park, Corp. Optometrist CurrentSince Apr 15, 2023 Accepting new patients
Advanced Eyecare South Holland OD and Associates PC Optometrist CurrentSince Feb 4, 2017 Accepting new patients
Future Vision Eyecare Inc Optometrist PastSince Sep 29, 2008 Accepting new patients
Jasper Gulotta Optometrist PastSince Feb 4, 2017 Accepting new patients
Special Eyes Optometrist Past Accepting new patients
Eye Place of Schaumburg LLC Optometrist PastSince Apr 15, 2023 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

Organizations & group practices 10

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1164622874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N MAIN ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873579",
            "telephone_number": "630-668-4144",
            "fax_number": "630-668-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N MAIN ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873579",
            "telephone_number": "630-668-4144",
            "fax_number": "630-668-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "GRISHMA",
        "middle_name": "PREMAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046-009678",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.