Individual provider Active NPI

Shelby Caroline Rogers, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1235610429
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011243 Issued in IL
Practice address
321 N Michigan Ave
Chicago, IL 60601-3707
Phone
(312) 641-2020
NPI assigned
Aug 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011243 IL Primary

Addresses

Primary practice location

321 N Michigan Ave
Chicago, IL 60601-3707

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20200108000582 IL Practitioner - Optometry 7719311307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Illinois LLCGroup PAC ID 3577869965, 66 clinicians
Midwestern UniversityGroup PAC ID 6305734773, 116 clinicians

Practice addresses (Care Compare)

20 E N St
Coal City, IL 60416-1087
Phone (815) 634-4825

2842 N Sheridan Rd
Chicago, IL 60657-6174
Phone (773) 975-4300

321 N Michigan Ave
Chicago, IL 60601-3707
Phone (312) 641-2020

3450 Lacey Rd
Downers Grove, IL 60515-5430
Phone (630) 743-4500

5408 N Clark St
Chicago, IL 60640-1210
Phone (773) 275-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwestern University Optometrist CurrentSince Mar 15, 2025 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince May 1, 2024 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince May 1, 2024 Accepting new patients
Midwestern University CurrentSince Mar 15, 2025 Accepting new patients
Midwestern University Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Past Accepting new patients
James a. Tuel PC Optometrist Past Accepting new patients

Locations

321 N Michigan Ave
Chicago, IL 60601
Phone (312) 263-0222

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

1212 N Wells St
Ste 1
Chicago, IL 60610
Phone (312) 664-2020

26520 Network Pl
Chicago, IL 60673
Phone (630) 743-4500

2842 N Sheridan Rd
Chicago, IL 60657
Phone (773) 525-8700

4740 N Lincoln Ave
Chicago, IL 60625
Phone (773) 275-2900

3450 Lacey Rd
Ste 602
Downers Grove, IL 60515
Phone (630) 743-4500

3450 Lacey Rd
Downers Grove, IL 60515
Phone (630) 743-4500

3450 Lacey Rd
Ste 211
Downers Grove, IL 60515
Phone (630) 743-4500

1114 W Devon Ave
Elk Grove Village, IL 60007
Phone (847) 895-7222

950 W State Route 22
Lake Zurich, IL 60047
Phone (847) 726-2020

170 S Locust St
Manteno, IL 60950
Phone (815) 468-2525

4852 211th St
Matteson, IL 60443
Phone (708) 747-4800

122 N Oak Park Ave
Oak Park, IL 60301
Phone (708) 524-2020

2 W Talcott Rd
Ste 30
Park Ridge, IL 60068
Phone (847) 696-2434

875 N Milwaukee Ave
Unit 300
Vernon Hills, IL 60061
Phone (847) 325-4440

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • FHIR API: https://epicproxy.et1329.epichosted.com/APIProxyPRD/HOME/api/FHIR/R4
  • Direct secure messaging: srogers25320@direct.midwestern.edu

Organizations & group practices 8

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1235610429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013707",
            "telephone_number": "312-641-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "SHELBY",
        "middle_name": "CAROLINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.