Active NPI
Pooja Patel, OD
- Optometrist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.011358
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.011358 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nikoumanesh Eye Care LLC | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Current | Accepting new patients | |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Clarkson Optometry Illinois, P.C. | Optometrist | Current | Accepting new patients |
| Clarkson Optometry Illinois, P.C. | Optometrist | Current | Accepting new patients |
| Lawrence Greenspan Professional Corporation | Optometrist | Past | 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.
-
- Optometrist
- Chicago, IL
- NPI 1275234866
-
- Optometrist
- Niles, IL
- NPI 1831115906
-
- Optometrist
- Centralia, IL
- NPI 1730373648
-
- Eyewear Supplier
- Simpsonville, SC
- NPI 1699571166
-
- Optometrist
- Chicago Heights, IL
- NPI 1619157872
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.