Individual provider Active NPI

Eva Shabo, OD

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1508396516
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011101 Issued in IL
Practice address
14964 Max Leggett Pkwy Ste 106
Jacksonville, FL 32218-7270
Phone
(904) 913-1071
NPI assigned
Jun 13, 2017
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 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 046011101 IL Primary

Addresses

Primary practice location

14964 Max Leggett Pkwy Ste 106
Jacksonville, FL 32218-7270

Mailing address

110 College St Ste E
Athens, AL 35611-2714

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
I20171108000803 IL Practitioner - Optometry 0547526568 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eandg Eye Care PLLCGroup PAC ID 3870828924, 2 clinicians

Practice addresses (Care Compare)

8362 Grand Ave
River Grove, IL 60171-1435
Phone (708) 583-1100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
In Focus Eyecare P.C. Optometrist CurrentSince Dec 1, 2024 Accepting new patients
Eyesee LLC Optometrist CurrentSince Oct 2, 2018 Accepting new patients
E&G Eye Care PLLC Optometrist CurrentSince Jun 3, 2019 Accepting new patients

Locations

750 S Randall Rd
Algonquin, IL 60102
Phone (847) 458-5341

13460 S Archer Ave
Lemont, IL 60439
Phone (630) 243-6518

275 Parkway Dr
Ste 415
Lincolnshire, IL 60069
Phone (847) 243-3330

8362 Grand Ave
River Grove, IL 60171
Phone (708) 344-7555

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, 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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1508396516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COLLEGE ST STE E",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14964 MAX LEGGETT PKWY STE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187270",
            "telephone_number": "904-913-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABO",
        "first_name": "EVA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.