University Eye Institute PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

UNIVERSITY EYE INSTITUTE PC

Practice address

2720 169TH St
Hammond, IN 46323-1508

Phone

(219) 845-2020

Fax

(219) 845-2012

NPI assigned

May 25, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Grishma P PatelNPI 1164622874

Title

Owner

Phone

(219) 845-2020

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• University Eye Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grishma Premal Patel, O.D.

  • Optometrist
  • Wheaton, IL
  • NPI 1164622874

  IN, Optometrist

  Medicare reassignment NPD Authorized official
• Bianca Surti

  • Optometrist
  • Vernon Hills, IL
  • NPI 1275015349
  NPD

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

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1558596247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 169TH ST",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463231508",
            "telephone_number": "219-845-2020",
            "fax_number": "219-845-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 169TH ST",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463231508",
            "telephone_number": "219-845-2020",
            "fax_number": "219-845-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY EYE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-25",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "GRISHMA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-845-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003569A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009678",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200962790",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Michelle Tucker, FNP
• Falvy Hakan Tunca, MD
• Mohamed Turkmani, MD
• United Dental Centers
• University Eye Care SC
• Naresh K Upadhyay, MD
• Clairese Pauline Urchell, MAT, LAT, ATC
• US Medgroup PA
• Amanda Vagelatos, NP-C
• Sara Velligan

• All providers in Hammond, IN
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.