Saleem Ahmad, OD
Individual provider Active NPI Optometrist · Chicago, IL
NPI 1265628762 · NPPES record last updated Jun 15, 2011
Key facts
- NPI
- 1265628762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 046.008543 (IL)
- Practice address
- 4234 S Archer Ave
Chicago, IL 60632-2550 - Phone
- (773) 254-6800
- NPI assigned
- Sep 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.008543 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc. | Optometrist | Past |
Accepting new patients |
| Visionworks, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046.008543 | IL | Yes |
Addresses
Primary practice location
4234 S Archer Ave
Chicago, IL 60632-2550
Mailing address
6647 Majestic Way
Carpentersville, IL 60110-3438
Phone (847) 844-9860
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.