Prem S Virdi MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PREM S VIRDI MD PC

Practice address

4600 30TH St
Rock Island, IL 61201-7038

Phone

(309) 788-5524

Fax

(309) 788-9550

NPI assigned

Apr 10, 2006

Organization subpart

No

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

Authorized official

Name

Prem S Virdi

Title

Physician

Phone

(309) 788-5524

Specialties & licenses 1

Addresses

Other names 1

• Virdi Eye Clinic Laser Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alyssa K. Anderson, O.D.

  • Optometrist
  • Rock Island, IL
  • NPI 1942786249
  Medicare reassignment Care Compare group NPD
• Navaneet S Chailerborisuth, MD, PHD

  • Ophthalmology Physician
  • Rock Island, IL
  • NPI 1811988520
  Medicare reassignment Care Compare group NPD
• Brenna J Kitzmann, O.D.

  • Optometrist
  • Rock Island, IL
  • NPI 1154798999
  Medicare reassignment Care Compare group NPD
• Stacie L Setchell, O.D

  • Optometrist
  • Morrison, IL
  • NPI 1528220670
  Medicare reassignment Care Compare group NPD
• Manpreet Singh Chhabra, M.D.

  • Ophthalmology Physician
  • San Antonio, TX
  • NPI 1053575647

  Single Specialty

  NPD
• Pauline Bland, OD

  • Optometrist
  • Clinton, IA
  • NPI 1184009847
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1811950892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 30TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017038",
            "telephone_number": "309-788-5524",
            "fax_number": "309-788-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 30TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017038",
            "telephone_number": "309-788-5524",
            "fax_number": "309-788-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREM S VIRDI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "VIRDI",
        "authorized_official_first_name": "PREM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "309-788-5524"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virdi Eye Clinic Laser Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Layne Pool, LCSW/LISW
• April Porter, RN
• Douglas William Poston
• Jodi Marie Powell, BSW
• Prasan Chariyashotilert MD SC
• Premise Health of Illinois Medical PC
• Anna Gisela Press
• Caroline Marjorie Puckett
• Jessica Lynn Putnam, LMSW
• Vinay Pypur Jayachandrudu, M.D

• Ophthalmology Physician in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.