Individual provider Active NPI

Trisha H Patel, O.D.

  • Optometrist
  • North Riverside, IL
National Provider Identifier
1407293533
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010646 Issued in IL
Practice address
7222 W Cermak Rd
North Riverside, IL 60546-1422
Phone
(708) 447-1494
Fax
(708) 447-6178
NPI assigned
May 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010646 IL Primary

Addresses

Primary practice location

7222 W Cermak Rd
North Riverside, IL 60546-1422

Mailing address

7222 W Cermak Rd
North Riverside, IL 60546-1422
Phone (708) 447-1494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220127000697 TX Practitioner - Optometry 5991946774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10299TXMDProfessional Counselor
046010646ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Vision Care, PLLC Optometrist CurrentSince Dec 20, 2021 Accepting new patients
Ogden Vison Center LLC Optometrist PastSince Dec 3, 2023 Accepting new patients

Locations

17261 Smyers Ln
Ste 100
Round Rock, TX 78681
Phone (512) 501-2100

Organizations & group practices 2

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": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1407293533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7222 W CERMAK RD",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461422",
            "telephone_number": "708-447-1494",
            "fax_number": "708-447-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7222 W CERMAK RD",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461422",
            "telephone_number": "708-447-1494",
            "fax_number": "708-447-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TRISHA",
        "middle_name": "H",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Riverside, IL

Sources for this page

Verify at the official NPI Registry.