Individual provider Active NPI

Priyanka Patel, OD

  • Optometrist
  • Elk Grove Village, IL
National Provider Identifier
1316558570
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011467 Issued in IL
Practice address
1568 Schirra Cir
Elk Grove Village, IL 60007-2843
Phone
(224) 659-9022
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 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 046011467 IL Primary

Addresses

Primary practice location

1568 Schirra Cir
Elk Grove Village, IL 60007-2843

Mailing address

1568 Schirra Cir
Elk Grove Village, IL 60007-2843
Phone (224) 659-9022

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
I20210616001098 IL Practitioner - Optometry 7517367303 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011467ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Pod Vision Care LLC Optometrist CurrentSince Oct 22, 2025 Accepting new patients
Christina J. Levi O D P C Optometrist CurrentSince Jul 19, 2021 Accepting new patients
Christina J. Levi O D P C Optometrist Past Accepting new patients

Locations

1 N Virginia St
Crystal Lake, IL 60014
Phone (815) 455-9393

2100 Troy Rd
Edwardsville, IL 62025
Phone (618) 656-8888

1603 N Alpine Rd
Ste 121
Rockford, IL 61107
Phone (815) 397-5959

Organizations & group practices 3

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": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1316558570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 SCHIRRA CIR",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600072843",
            "telephone_number": "224-659-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 SCHIRRA CIR",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600072843",
            "telephone_number": "224-659-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRIYANKA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.