Zahra Adenwalla, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.010178 Issued in IL

Practice address

3125 S Ashland Ave Ste 204
Chicago, IL 60608-6231

Phone

(773) 890-1100

NPI assigned

Feb 18, 2009

Last updated

Mar 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bridgeport Eye Care, LLC

  dba Miami Optical

  • Optometrist
  • Chicago, IL
  • NPI 1144711243
  Medicare reassignment NPD
• Southwest Optometric Associates P C

  dba Miami Optical

  • Optometrist
  • Chicago, IL
  • NPI 1699785675
  NPD

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1679712483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 S ASHLAND AVE STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086231",
            "telephone_number": "773-890-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 S ASHLAND AVE STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086231",
            "telephone_number": "773-890-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENWALLA",
        "first_name": "ZAHRA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muna Abdu Adem, MD
• Adeshalewa Ademoyo-Opakunle
• Marilyn Sue Aden, MD
• Adekunle Adeniji
• Faustina Adenuga
• Adeola L Adeoye, APN
• Samuel Adeoye, LSW
• Jubril Adepoju
• Ali A Ader, APNP, CRNA
• Jacqueline Ader, LCSW

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.

Verify at the official NPI Registry.