Active NPI
Nimisa Bhave, O.D
- Optometrist
- Arlington Heights, IL
National Provider Identifier
1801086038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046009945
- Practice address
- 27 S Vail Ave
Arlington Heights, IL 60005-1840 - Phone
- (847) 368-9800
- NPI assigned
- Jul 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 046009945 | IL | Primary |
Addresses
Primary practice location
27 S Vail Ave
Arlington Heights, IL 60005-1840
Mailing address
601 E Pennsylvania CT
Arlington Heights, IL 60005-4281
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071107000698 | IL | Practitioner - Optometry | 1254428212 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27 S Vail Ave
Suite 1840
Arlington Heights, IL 60005-1840
Phone (847) 368-9800
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046009945 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Eyecare of Arlington Heights Corp | Optometrist | Current | Accepting new patients |
| Special Eyes | Optometrist | Past | Accepting new patients |
| Robert J S Mack, MD PC | Past | Accepting new patients | |
| The Eye Site of Illinois, LLC | Optometrist | Past | Accepting new patients |
Locations
27 S Vail Ave
Ste 1840
Arlington Heights, IL 60005
27 S Vail Ave
#1840
Arlington Hts, IL 60005
Phone (847) 368-9800
Organizations & group practices 4
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
- Arlington Heights, IL
- NPI 1467022608
IL, Optometrist
-
- Ophthalmology Physician
- Hoffman Est, IL
- NPI 1255451563
-
- Optometrist
- Arlington Heights, IL
- NPI 1508028804
-
- Optometrist
- Mount Prospect, IL
- NPI 1447474879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1801086038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E PENNSYLVANIA CT",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600054281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 S VAIL AVE",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600051840",
"telephone_number": "847-368-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAVE",
"first_name": "NIMISA",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-25",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046009945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.