NPIMap

Organization Active NPI

Village Eye Care LTD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1477601664
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009595 Issued in IL
Legal business name
VILLAGE EYE CARE LTD
Practice address
1243 S Wabash Ave
Unit 101
Chicago, IL 60605-2473
Phone
(312) 663-4250
NPI assigned
Jan 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Dr. Satpal P Sarai, O.D.
Title
President
Phone
(312) 663-4250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 046-009595 IL Primary

Addresses

Primary practice location

1243 S Wabash Ave
Unit 101
Chicago, IL 60605-2473

Mailing address

1243 S Wabash Ave
Unit 101
Chicago, IL 60605-2473
Phone (312) 663-4250

Other identifiers 1

IdentifierTypeStateIssuer
01636791OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070321000192 IL Part B Supplier - Clinic/Group Practice 2567565088 Receives reassigned benefits from 13 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory
Tax ID family
Village Eye Care LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1243 S Wabash Ave
Ste 1
Chicago, IL 60605
Phone (312) 663-4250

1243 S Wabash Ave
Chicago, IL 60605
Phone (312) 663-4250

1903 W Division St
Chicago, IL 60622

1243 S Wabash Ave
Unit 101
Chicago, IL 60605
Phone (312) 663-4250

2121 W Division St
Ste 1E
Chicago, IL 60622
Phone (773) 697-7370

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1477601664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 S WABASH AVE",
            "address_2": "UNIT 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052473",
            "telephone_number": "312-663-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 S WABASH AVE",
            "address_2": "UNIT 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052473",
            "telephone_number": "312-663-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE EYE CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "SARAI",
        "authorized_official_first_name": "SATPAL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-663-4250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01636791",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.