Individual provider Active NPI

Vishal K Patel, O.D.

  • Optometrist
  • Northlake, IL
National Provider Identifier
1427499797
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010655 Issued in IL
Practice address
137 W North Ave
Vision Center
Northlake, IL 60164-2316
Phone
(708) 409-0047
NPI assigned
Jul 15, 2013
Last updated
Jun 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 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 046010655 IL Primary

Addresses

Primary practice location

137 W North Ave
Vision Center
Northlake, IL 60164-2316

Mailing address

1802 E Basswood LN
Mount Prospect, IL 60056-1810

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
I20150403000418 IL Practitioner - Optometry 9830416726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

137 W N Ave
Northlake, IL 60164-2316
Phone (708) 409-0047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vishal K Patel OD PC Optometrist CurrentSince Mar 30, 2019 Accepting new patients

Locations

137 W North Ave
Northlake, IL 60164
Phone (708) 409-0046

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1427499797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 E BASSWOOD LN",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W NORTH AVE",
            "address_2": "VISION CENTER",
            "city": "NORTHLAKE",
            "state": "IL",
            "postal_code": "601642316",
            "telephone_number": "708-409-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VISHAL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northlake, IL

Sources for this page

Verify at the official NPI Registry.