Individual provider Active NPI

Faqar Saleh, OD

  • Optometrist
  • Burbank, IL
National Provider Identifier
1487229209
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011504 Issued in IL
Practice address
8525 S Harlem Ave
Burbank, IL 60459-2293
Phone
(708) 599-0050
NPI assigned
May 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011504 IL Primary

Addresses

Primary practice location

8525 S Harlem Ave
Burbank, IL 60459-2293

Mailing address

8525 S Harlem Ave
Burbank, IL 60459-2293

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.myeccltd.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220701000970 MI Practitioner - Optometry 4082007943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee Indian Hospital AuthorityGroup PAC ID 2062320393, shared by 4 NPIs, 88 clinicians
P-Cor LLCGroup PAC ID 9931194149, 81 clinicians

Practice addresses (Care Compare)

1 Hospital Rd
Caller Box C 268
Cherokee, TX 28719-9253
Phone (828) 497-9163

33100 S Gratiot Ave
Clinton Township, MI 48035-4036
Phone (586) 294-0120

Hospital & facility affiliations

  • Cherokee Indian Hospital Authority Hospital, Cherokee, NC, CCN 340156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pcor LLC Optometrist CurrentSince Jun 29, 2022 Accepting new patients
Pcor, LLC Optometrist CurrentSince Jun 29, 2022 Accepting new patients
Albina Optometric Optometrist PastSince Jun 22, 2021 Accepting new patients

Locations

1961 S Telegraph Rd
Ste 101
Bloomfield Township, MI 48302
Phone (248) 972-2555

33100 S Gratiot Ave
Clinton Twp, MI 48035
Phone (586) 294-0120

22395 Eureka Rd
Taylor, MI 48180
Phone (248) 661-5100

735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300

35184 Central City Pkwy
Westland, MI 48185
Phone (734) 427-5200

Interoperability endpoints

  • Direct secure messaging: fsaleh796539@direct.hfhs.org
  • Direct secure messaging: fsaleh2@optimeyes.emadirect.md

Organizations & group practices 3

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1487229209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 S HARLEM AVE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 S HARLEM AVE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592293",
            "telephone_number": "708-599-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEH",
        "first_name": "FAQAR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.myeccltd.com/",
            "affiliation": "N",
            "address_1": "8525 S Harlem Ave",
            "city": "Burbank",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604592293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burbank, IL

Sources for this page

Verify at the official NPI Registry.