Individual provider Active NPI

Jay B Patel

  • Optometrist
  • Elgin, IL
National Provider Identifier
1467947770
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011330 Issued in IL
Practice address
3091 US Highway 20 Ste 105
Elgin, IL 60124-3840
Phone
(847) 874-2020
Fax
(847) 423-4372
NPI assigned
Jun 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011330 IL Primary

Addresses

Primary practice location

3091 US Highway 20 Ste 105
Elgin, IL 60124-3840

Mailing address

3091 US Highway 20 Ste 105
Elgin, IL 60124-3840
Phone (847) 874-2020

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
I20190924001578 IL Practitioner - Optometry 3870823529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3091 US Hwy 20
Suite 105
Elgin, IL 60124-3840
Phone (847) 874-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011330ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Eye Care Optometrist CurrentSince Oct 23, 2023 Accepting new patients

Locations

3091 US Highway 20
Ste 105
Elgin, IL 60124
Phone (847) 874-2020

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1467947770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3091 US HIGHWAY 20 STE 105",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601243840",
            "telephone_number": "847-874-2020",
            "fax_number": "847-423-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3091 US HIGHWAY 20 STE 105",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601243840",
            "telephone_number": "847-874-2020",
            "fax_number": "847-423-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAY",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.