Individual provider Active NPI

Pooja Patel, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1659927382
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011358 Issued in IL
Practice address
225 N Michigan Ave
Chicago, IL 60601-7757
Phone
(312) 819-0199
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011358 IL Primary

Addresses

Primary practice location

225 N Michigan Ave
Chicago, IL 60601-7757

Mailing address

225 N Michigan Ave
Chicago, IL 60601-7757

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
I20200609000165 IL Practitioner - Optometry 5496176919 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011358ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nikoumanesh Eye Care LLC Optometrist CurrentSince Jul 31, 2024 Accepting new patients
Visionworks, Inc CurrentSince May 30, 2022 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince May 30, 2022 Accepting new patients
Clarkson Optometry Illinois, P.C. Optometrist CurrentSince Jan 3, 2025 Accepting new patients
Clarkson Optometry Illinois, P.C. Optometrist CurrentSince Jan 3, 2025 Accepting new patients
Lawrence Greenspan Professional Corporation Optometrist PastSince Nov 2, 2012 Accepting new patients

Locations

1200 N Larrabee St
Chicago, IL 60610
Phone (312) 470-8945

1440 W Taylor St
Chicago, IL 60607
Phone (612) 263-9334

2121 S State Route 157
Edwardsville, IL 62025
Phone (618) 656-7774

6570 N Illinois St
Ste A
Fairview Heights, IL 62208
Phone (618) 628-3502

239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286

2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133

3248 Green Mount Crossing Dr
Shiloh, IL 62269
Phone (618) 622-9225

Organizations & group practices 6

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1659927382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017757",
            "telephone_number": "312-819-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "POOJA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.