Sidra Ahmad, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011554 Issued in IL

Practice address

300 Memorial Dr Ste 300
Crystal Lake, IL 60014-6273

Phone

(815) 459-7110

Fax

(815) 459-7138

NPI assigned

Jul 27, 2021

Last updated

May 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, TX, NY, CO4 enrollments

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 4

Specialty

Optometry

Education

Midwestern University College of Dental Medicine, Downers Grove, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yah VisionGroup PAC ID 8628328010, 4 clinicians

Sweet Optics LLCGroup PAC ID 7618380452, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sweet Optics LLC

  • Optometrist
  • Alamosa, CO
  • NPI 1346899176
  Medicare reassignment Care Compare group NPD
• Yah Vision

  dba Young at Heart Pueblo Kids Vision

  • Optometrist
  • Pueblo, CO
  • NPI 1417461823
  Medicare reassignment Care Compare group NPD
• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Niles, IL
  • NPI 1831115906
  Medicare reassignment NPD
• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  Medicare reassignment NPD
• Brownwood Optometrists, P.C.

  dba Early Vision

  • Optometrist
  • Early, TX
  • NPI 1063596849
  Medicare reassignment NPD
• Empire Vision Center Inc

  dba Davis Vision

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  Medicare reassignment NPD
• GVR Vision Now LLC

  dba GVR Vision Now

  • Optometrist
  • Aurora, CO
  • NPI 1740859511
  Medicare reassignment NPD
• Med Southwest, PLLC

  dba MyEyeDr.

  • Optometrist
  • Houston, TX
  • NPI 1609348739
  Medicare reassignment NPD
• Empire Vision Center, Inc

  dba Visionworks

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD
• Med Southwest, PLLC

  dba MyEyeDr.

  • Optometrist
  • Lewisville, TX
  • NPI 1588317127
  NPD
• Med Southwest, PLLC

  • Optometrist
  • Oklahoma City, OK
  • NPI 1679440762
  NPD
• Sol Vision Management LLC

  • Optometrist
  • Canon City, CO
  • NPI 1912868423
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1366115206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 PERIWINKLE LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604904549",
            "telephone_number": "630-862-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEMORIAL DR STE 300",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146273",
            "telephone_number": "815-459-7110",
            "fax_number": "815-459-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "SIDRA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2024-05-07",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11074T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advantage Group Foundation, LTD
• Advocacy Counseling Center, LTD
• Advocate Dental Group LLC
• Advoco Medical Inc
• Mary Elizabeth Agulo, AU.D.
• Akumin Health Illinois, LLC
• Al-Barr Smiles, Inc. (Smile Village)
• Rebecca Alawode
• Mariah Irene Aleman, O.D.
• Ather Ali, MD

• Optometrist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.