Shrey Y Patel, OD
Individual provider Active NPI Optometrist · Fort Wayne, IN
NPI 1497378244 · NPPES record last updated May 27, 2020
Key facts
- NPI
- 1497378244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 046.011405 (IL)
- Practice address
- 2121 Lake Ave
Fort Wayne, IN 46805-5100 - Phone
- (800) 360-8387
- NPI assigned
- May 27, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwest Eye Center
Rosin Optical Co Inc
Practice addresses (Care Compare)
1670 Capital St
Suite 100
Elgin, IL 60124-7837
Phone (847) 888-2020
2914 Central St
Evanston, IL 60201-1237
Phone (847) 864-4768
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211101002292 | IL | Practitioner - Optometry | 3779971353 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.011405 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosin Optical Co., Inc | Optometrist | Current | Accepting new patients |
| Rosin Optical Co., Inc. | Optometrist | Current |
Accepting new patients |
| Northwest Eye Center | Current |
Accepting new patients | |
| Rosin Optical Co. Inc. | Optometrist | Current |
Accepting new patients |
| Christina J. Levi O D P C | Optometrist | Current |
Accepting new patients |
| Rosin Optical Co., Inc. | Optometrist | Past | Accepting new patients |
| Rosin Optical Co., Inc. | Optometrist | Past | Accepting new patients |
| Christina J. Levi O D P C | Optometrist | Past | Accepting new patients |
| Comprehensive Eyecare Physicians PC | Past | Accepting new patients |
Locations
720 Fox Glen Ct
Barrington, IL 60010
Phone (847) 382-3640
6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020
313 W Dundee Rd
Buffalo Grove, IL 60089
Phone (847) 541-1184
145 Ogden Ave
Downers Grove, IL 60515
Phone (630) 749-2020
2100 Troy Rd
Edwardsville, IL 62025
Phone (618) 656-8888
1670 Capital St
Ste 100
Elgin, IL 60124
Phone (847) 888-2020
1346 Patriot Blvd
Glenview, IL 60026
Phone (847) 729-5050
1603 N Alpine Rd
Ste 121
Rockford, IL 61107
Phone (815) 397-5959
Interoperability endpoints
- spatel@nweyec.intellechartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046.011405 | IL | Yes |
Addresses
Primary practice location
2121 Lake Ave
Fort Wayne, IN 46805-5100
Mailing address
100 Jill LN
Streamwood, IL 60107-1147
Phone (224) 246-6605
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.