Individual provider Active NPI

Amber Fatima Naqvi, OD

  • Low Vision Rehabilitation Optometrist
  • Chicago, IL
National Provider Identifier
1346779147
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
046.011496 Issued in IL
Practice address
3241 S Michigan Ave
Chicago, IL 60616-4201
Phone
(312) 225-6200
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011496 IL
Optometrist 152W00000X 008568 NY
Optometrist 152W00000X 34213TLG CA
Low Vision Rehabilitation Optometrist 152WL0500X 046.011496 IL Primary

Addresses

Primary practice location

3241 S Michigan Ave
Chicago, IL 60616-4201

Mailing address

8038 Macintosh LN
Rockford, IL 61107-5336
Phone (815) 332-6800

Other practice location 1

8038 MacIntosh Ln
Rockford, IL 61107-5336
Phone (153) 326-8008 ext. 6821

Other names 1

  • Amber Fatima Shah Former name

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
I20260403002641 IL Order and Referring Only - OptometryPractitioner - Optometry 1759654619

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Cardinal CT
Streamwood, IL 60107-2195

7732 Solution Ctr
Chicago, IL 60677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34213TLGCAMDOptometrist
046.011496ILMDOptometrist
008568NYMDOptometrist
34213CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Chicago Lighthouse for People Who Are Blind Or Visually Impaired Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Center for Sight & Hearing Optometrist CurrentSince Apr 19, 2021 Accepting new patients
Illinois College of Optometry Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Ancona Eyecare Inc Optometrist PastSince Jun 24, 2017 Accepting new patients

Locations

3241 S Michigan Ave
Chicago, IL 60616
Phone (312) 225-6200

1850 W Roosevelt Rd
Chicago, IL 60608
Phone (312) 997-3686

8038 Macintosh Ln
Rockford, IL 61107
Phone (815) 332-6800

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: amber.naqvi.iei@direct.ico.nextgenshare.com

Organizations & group practices 4

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": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1346779147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8038 MACINTOSH LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075336",
            "telephone_number": "815-332-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164201",
            "telephone_number": "312-225-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8038 MacIntosh Ln",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611075336",
            "country_code": "US",
            "telephone_number": "153-326-8008 x6821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAQVI",
        "first_name": "AMBER",
        "middle_name": "FATIMA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011496",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008568",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34213TLG",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IL",
            "license": "046.011496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "SHAH",
            "middle_name": "FATIMA",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.