Individual provider Active NPI

Mujahid Saeed, O.D.

  • Optometrist
  • Villa Park, IL
National Provider Identifier
1255560413
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010265 Issued in IL
Practice address
630 N Addison Rd
Villa Park, IL 60181-1419
Phone
(708) 636-9393
Fax
(708) 636-2022
NPI assigned
Jul 9, 2009
Last updated
Apr 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010265 IL Primary

Addresses

Primary practice location

630 N Addison Rd
Villa Park, IL 60181-1419

Mailing address

4700 W 95TH St
Suite # 102
Oak Lawn, IL 60453-2533
Phone (708) 636-9393

Other identifiers 3

IdentifierTypeStateIssuer
562331325-60453-01MedicaidIL
046010265MedicaidIL
1730252230OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 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
I20090818000658 IL Practitioner - Optometry 7416001904 Reassigns benefits to 4 organizations
I20240919004133 TX Practitioner - Optometry 7416001904 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11173TXMDChiropractor
046010265ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
First Texas Optometric PC Optometrist Current Accepting new patients
Second Texas Optometric PC Optometrist Current Accepting new patients
Skyline Physicians LLC CurrentSince Sep 2, 2015 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Mar 16, 2019 Accepting new patients
First Texas Optometric PC Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Visionworks, Inc CurrentSince Jul 1, 2021 Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Mar 16, 2019 Accepting new patients
Second Texas Optometric PC Optometrist CurrentSince Aug 1, 2024 Accepting new patients
First Texas Optometric PC Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Jul 1, 2021 Accepting new patients

Locations

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

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

4313 S Pulaski Rd
Chicago, IL 60632
Phone (773) 847-1911

145 Ogden Ave
Downers Grove, IL 60515
Phone (630) 749-2020

210 Penny Ave
Ste E
East Dundee, IL 60118
Phone (847) 426-3221

1200 Roosevelt Rd
Ste 140
Glen Ellyn, IL 60137
Phone (708) 307-2103

239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286

2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133

11645 Angus Rd
Ste 5
Austin, TX 78759
Phone (512) 345-5641

6725 Delaware St
Beaumont, TX 77706
Phone (409) 832-9151

1329 W Davis St
Conroe, TX 77304
Phone (936) 441-3937

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

5224 S State Highway 360
Ste 200
Grand Prairie, TX 75052
Phone (972) 602-4545

127 Greens Rd
Houston, TX 77060
Phone (281) 826-2020

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

300 Northpark Dr
Ste 600
Kingwood, TX 77339
Phone (281) 360-1006

3032 N Eastman Rd
Ste 100
Longview, TX 75605
Phone (903) 663-2020

4710 Louetta Rd
Spring, TX 77388
Phone (281) 350-2020

6625 Spring Stuebner Rd
Ste 215
Spring, TX 77389
Phone (281) 350-2020

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

402 Sawdust Rd
The Woodlands, TX 77380
Phone (281) 363-2020

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1255560413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST",
            "address_2": "SUITE # 102",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532533",
            "telephone_number": "708-636-9393",
            "fax_number": "708-636-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N ADDISON RD",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811419",
            "telephone_number": "708-636-9393",
            "fax_number": "708-636-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAEED",
        "first_name": "MUJAHID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "562331325-60453-01",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010265",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1730252230",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, IL

Sources for this page

Verify at the official NPI Registry.