Puja Shah O.D, P.C

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010366 Issued in IL

Legal business name

PUJA SHAH O.D, P.C

Practice address

3220 W Armitage Ave
Chicago, IL 60647-3797

Phone

(773) 661-6615

Fax

(773) 698-7408

NPI assigned

Aug 27, 2012

Last updated

Aug 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Puja Shah, O.DNPI 1558675942

Title

President

Phone

(773) 661-6615

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Puja Shah, O.D

  • Optometrist
  • Chicago, IL
  • NPI 1558675942
  Authorized official Same address or phone
• Dixit Patel, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1982076683
  NPD (past)

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1538417498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 W ARMITAGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473797",
            "telephone_number": "773-661-6615",
            "fax_number": "773-698-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 W ARMITAGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473797",
            "telephone_number": "773-661-6615",
            "fax_number": "773-698-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUJA SHAH O.D, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PUJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-661-6615",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046.010366",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riley W Puhr, DPT
• Pui Tak Center
• Sin Lei Pui, MD
• Susann Elisabeth Puican, M.ED, LCPC
• Michael Anthony Puisis, D.O.
• Mateo L Pujol
• Pulaski Amazing Dental LLC
• Pulaski Dental Center P.C (pulaski dental)
• Pulaski Road Dentistry PLLC (63 Family Dental)
• Pulaski Smiling Dental P.C.

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.