Individual provider Active NPI

Shadia Chirri, OD

  • Optometrist
  • Calumet City, IL
National Provider Identifier
1629625561
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011364 Issued in IL
Practice address
1320 Torrence Ave
Calumet City, IL 60409-5512
Phone
(708) 868-5190
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011364 IL Primary

Addresses

Primary practice location

1320 Torrence Ave
Calumet City, IL 60409-5512

Mailing address

221 E 31St St Apt 3
Chicago, IL 60616-4665
Phone (313) 258-3758

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SChirri@eyedoc.ico.edu Health Information Exchange (HIE) Illinois College Of Optometry

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4000 Luxottica PL
Mason, OH 45040-8114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011364ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc PastSince Jul 7, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: schirri@eyedoc.ico.edu

Organizations & group practices 1

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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1629625561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E 31ST ST APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164665",
            "telephone_number": "313-258-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 TORRENCE AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095512",
            "telephone_number": "708-868-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRRI",
        "first_name": "SHADIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SChirri@eyedoc.ico.edu",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Illinois College Of Optometry",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3241 S Michigan Avenue",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606163878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Calumet City, IL

Sources for this page

Verify at the official NPI Registry.