Individual provider Active NPI

Sakshi Sata, OD

  • Optometrist
  • Dekalb, IL
National Provider Identifier
1316633092
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011809 Issued in IL
Practice address
3201 Commerce Dr
Dekalb, IL 60115
Phone
(815) 758-1039
NPI assigned
Apr 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 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 046011809 IL Primary

Addresses

Primary practice location

3201 Commerce Dr
Dekalb, IL 60115

Mailing address

3201 Commerce Dr
Dekalb, IL 60115
Phone (815) 758-1039

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
I20240315003600 IL Practitioner - Optometry 4284070954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spex Express IncGroup PAC ID 8224019450, 3 clinicians

Practice addresses (Care Compare)

2570 Dekalb Ave
Sycamore, IL 60178-3109

3201 Commerce Dr
Dekalb, IL 60115-8491
Phone (815) 758-1039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011809ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spex Express Inc Optometrist CurrentSince Mar 1, 2024 Accepting new patients

Locations

3201 Commerce Dr
DeKalb, IL 60115
Phone (815) 758-1039

2570 DeKalb Ave
Sycamore, IL 60178
Phone (815) 756-2222

Organizations & group practices 1

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": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1316633092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 COMMERCE DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "60115",
            "telephone_number": "815-758-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 COMMERCE DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "60115",
            "telephone_number": "815-758-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATA",
        "first_name": "SAKSHI",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2025-08-05",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.