Individual provider Active NPI

Lisha J Patel, O.D.

  • Optometrist
  • Streamwood, IL
National Provider Identifier
1326474735
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010667 Issued in IL
Practice address
850 S Barrington Rd
Streamwood, IL 60107-2255
Phone
(630) 372-4974
NPI assigned
Sep 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003820 IN
Optometrist 152W00000X 046010667 IL Primary

Addresses

Primary practice location

850 S Barrington Rd
Streamwood, IL 60107-2255

Mailing address

850 S Barrington Rd
Streamwood, IL 60107-2255
Phone (630) 372-4974

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
I20220429001643 IL Practitioner - Optometry 7214165083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 S Roselle Rd
Suite B
Schaumburg, IL 60193-5595
Phone (847) 792-9411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003820INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Schaumburg LLC Optometrist CurrentSince May 19, 2023 Accepting new patients
Christina J. Levi O D P C Optometrist CurrentSince Feb 16, 2022 Accepting new patients
Christina J. Levi O D P C Optometrist Past Accepting new patients

Locations

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

611 Meacham Rd
Elk Grove Village, IL 60007
Phone (847) 584-9900

140 S Roselle Rd
Ste B
Schaumburg, IL 60193
Phone (847) 792-9411

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": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1326474735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S BARRINGTON RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072255",
            "telephone_number": "630-372-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S BARRINGTON RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072255",
            "telephone_number": "630-372-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "LISHA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003820",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streamwood, IL

Sources for this page

Verify at the official NPI Registry.