Individual provider Active NPI

Nimisa Bhave, O.D

  • Optometrist
  • Arlington Heights, IL
National Provider Identifier
1801086038
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009945 Issued in IL
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

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Advanced Eyecare of Arlington Heights CorpGroup PAC ID 6204227184, 3 clinicians

Practice addresses (Care Compare)

27 S Vail Ave
Suite 1840
Arlington Heights, IL 60005-1840
Phone (847) 368-9800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046009945ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eyecare of Arlington Heights Corp Optometrist CurrentSince Jul 21, 2021 Accepting new patients
Special Eyes Optometrist Past Accepting new patients
Robert J S Mack, MD PC PastSince Nov 7, 2016 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.

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

Verify at the official NPI Registry.