Individual provider Active NPI

Saima Sattar Shahid, O.D.

  • Optometrist
  • Upper Saddle River, NJ
National Provider Identifier
1285727925
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00605100 Issued in NJ
Practice address
330 West Saddle River Road
Upper Saddle River, NJ 07458
Phone
(201) 783-3945
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00605100 NJ Primary
Optometrist 152W00000X 046010528 IL

Addresses

Primary practice location

330 West Saddle River Road
Upper Saddle River, NJ 07458

Mailing address

330 West Saddle River Road
Upper Saddle River, NJ 07458
Phone (201) 230-1823

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
I20150930000238 IL Practitioner - Optometry 0547368961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

279 N Northwest Hwy
Palatine, IL 60067-5326
Phone (847) 358-4970

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00605100NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Joanna M. Kawecka, P.C. Optometrist CurrentSince Aug 29, 2015 Accepting new patients
Brilliant Eyecare, LLC CurrentSince Feb 1, 2018 Accepting new patients
Professional Eyecare Associates PA Optometrist PastSince Nov 15, 2001 Accepting new patients
Dr. Alan Ross OD PA Past Accepting new patients
Eyecare One LLC Optometrist Past Accepting new patients

Locations

279 N Northwest Hwy
Palatine, IL 60067
Phone (847) 358-4970

700 E Higgins Rd
Schaumburg, IL 60173
Phone (847) 884-0560

Organizations & group practices 5

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1285727925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WEST SADDLE RIVER ROAD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "07458",
            "telephone_number": "201-230-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WEST SADDLE RIVER ROAD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "07458",
            "telephone_number": "201-783-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "SAIMA",
        "middle_name": "SATTAR",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00605100",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Saddle River, NJ

Sources for this page

Verify at the official NPI Registry.