Individual provider Active NPI

Sandip Steven Chander, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1407952781
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
00468891 Issued in IL
Practice address
5460 S Archer Ave
Chicago, IL 60638-3033
Phone
(773) 735-6090
Fax
(773) 581-0320
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 00468891 IL Primary

Addresses

Primary practice location

5460 S Archer Ave
Chicago, IL 60638-3033

Mailing address

5460 S Archer Ave
Chicago, IL 60638-3033
Phone (773) 735-6090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20041208000301 IL Practitioner - Optometry 5496711731 Reassigns benefits to 1 organization
I20240605000290 IN Practitioner - Optometry 5496711731

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Chander Vision Group LTDGroup PAC ID 4789640020, 2 clinicians

Practice addresses (Care Compare)

5460 S Archer Ave
Chicago, IL 60638-3033
Phone (773) 735-6090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00468891ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chander Vision Group LTD Optometrist CurrentSince Dec 13, 1999 Accepting new patients

Locations

5460 S Archer Ave
Chicago, IL 60638
Phone (773) 735-6090

301 Springfield Ave
Joliet, IL 60435
Phone (815) 729-0330

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1407952781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606383033",
            "telephone_number": "773-735-6090",
            "fax_number": "773-581-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606383033",
            "telephone_number": "773-735-6090",
            "fax_number": "773-581-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDER",
        "first_name": "SANDIP",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "00468891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.