Individual provider Active NPI

Prachiben Sanghvi, OD

  • Optometrist
  • Lombard, IL
National Provider Identifier
1770367310
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011780 Issued in IL
Practice address
266 Yorktown Shopping Ctr
Lombard, IL 60148-5526
Phone
(630) 261-1867
NPI assigned
Aug 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011780 IL Primary

Addresses

Primary practice location

266 Yorktown Shopping Ctr
Lombard, IL 60148-5526

Mailing address

266 Yorktown Shopping Ctr
Lombard, IL 60148-5526

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
I20231012000876 IL Practitioner - Optometry 4183079049 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011780ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc CurrentSince Sep 6, 2023 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Sep 6, 2023 Accepting new patients
Visionworks Inc PastSince Sep 5, 2023 Accepting new patients

Locations

266 Yorktown Shopping Ctr
Lombard, IL 60148
Phone (630) 261-1867

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

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

19100 Ridgewood Pkwy
Bldg 1
San Antonio, TX 78259
Phone (726) 444-4069

Organizations & group practices 3

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": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1770367310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 YORKTOWN SHOPPING CTR",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 YORKTOWN SHOPPING CTR",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485526",
            "telephone_number": "630-261-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGHVI",
        "first_name": "PRACHIBEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.