Individual provider Active NPI

Neha Shah, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1194194100
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010929 Issued in IL
Practice address
6455 S Kedzie Ave
Chicago, IL 60629-3292
Phone
(773) 863-9234
Fax
(773) 863-9274
NPI assigned
Sep 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 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 046.010929 IL Primary

Addresses

Primary practice location

6455 S Kedzie Ave
Chicago, IL 60629-3292

Mailing address

6455 S Kedzie Ave
Chicago, IL 60629-3292
Phone (773) 863-9234

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
I20160105000448 IL Practitioner - Optometry 7618279977 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.010929ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince May 15, 2018 Accepting new patients
Buena Vista Optical, P.C. CurrentSince Nov 1, 2019 Accepting new patients
Toseef Hasan O.D. LTD Optometrist CurrentSince Dec 5, 2015 Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince May 15, 2018 Accepting new patients
The Eye & Facial Clinic Past Accepting new patients
John C. Choi S.C. PastSince Mar 1, 2007 Accepting new patients

Locations

1050 N Rohlwing Rd
Addison, IL 60101
Phone (630) 424-0038

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

100 W Randolph St
Lowr 104
Chicago, IL 60601
Phone (312) 263-4909

6455 S Kedzie Ave
Ste 1
Chicago, IL 60629
Phone (773) 863-9234

3S100 State Route 53
Glen Ellyn, IL 60137
Phone (630) 545-1080

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": "1442707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1194194100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293292",
            "telephone_number": "773-863-9234",
            "fax_number": "773-863-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293292",
            "telephone_number": "773-863-9234",
            "fax_number": "773-863-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEHA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-20",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.