Active NPI
Vishal K Patel, O.D.
- Optometrist
- Northlake, IL
National Provider Identifier
1427499797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046010655
- 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, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vishal K Patel OD PC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.