Active NPI
Syeda Rabab Fatima, OD
- Optometrist
- Des Plaines, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.011011
- Practice address
- 865 Elmhurst Rd
Des Plaines, IL 60016-5605 - Phone
- (847) 437-1005
- Fax
- (847) 437-0755
- NPI assigned
- Jun 9, 2016
- 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 | 046.011011 | IL | Primary |
Addresses
Primary practice location
865 Elmhurst Rd
Des Plaines, IL 60016-5605
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1114 W Devon Ave
Elk Grove Village, IL 60007-3214
Phone (847) 895-7222
5408 N Clark St
Chicago, IL 60640-1210
Phone (773) 275-2020
801 Meacham Rd
Elk Grove Village, IL 60007-3073
Phone (630) 599-7657
865 Elmhurst Rd
Des Plaines, IL 60016-5605
Phone (847) 437-1005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.011011 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nur Vision LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Past | Accepting new patients |
Locations
5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020
865 Elmhurst Rd
Des Plaines, IL 60016
Phone (847) 437-1005
801 Meacham Rd
Elk Grove Vlg, IL 60007
Phone (847) 584-7082
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 5
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 1245695378
-
- Optometrist
- Elk Grove Village, IL
- NPI 1386507861
-
- Optometrist
- Chicago, IL
- NPI 1154297752
-
- Optometrist
- Chicago, IL
- NPI 1427413327
-
- Optometrist
- Evanston, IL
- NPI 1396100434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1699124602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 ELMHURST RD",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600165605",
"telephone_number": "847-437-1005",
"fax_number": "847-437-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATIMA",
"first_name": "SYEDA",
"middle_name": "RABAB",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-09",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.011011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.