Individual provider Active NPI

Eve B Lewis-Shapiro, O.D

  • Optometrist
  • Norridge, IL
National Provider Identifier
1639394471
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
46008964 Issued in IL
Practice address
4259 N Harlem Ave
Norridge, IL 60706-1212
Phone
(708) 457-2292
Fax
(708) 457-1085
NPI assigned
Apr 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 46008964 IL Primary

Addresses

Primary practice location

4259 N Harlem Ave
Norridge, IL 60706-1212

Mailing address

3843 White Cloud Dr
Skokie, IL 60076-1727
Phone (847) 568-0869

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46008964ILMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639394471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3843 WHITE CLOUD DR",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761727",
            "telephone_number": "847-568-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4259 N HARLEM AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607061212",
            "telephone_number": "708-457-2292",
            "fax_number": "708-457-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-SHAPIRO",
        "first_name": "EVE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46008964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.