Signature Retina Consultants PC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

SIGNATURE RETINA CONSULTANTS PC

Practice address

2010 Jacobssen Dr Ste C
Normal, IL 61761-6280

Phone

(815) 390-7271

NPI assigned

Oct 19, 2022

Last updated

Mar 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sumit Bhatia, MDNPI 1780670596

Title

Owner / Provider

Phone

(815) 390-7271

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sumit Bhatia, MD

  • Retina Specialist (Ophthalmology) Physician
  • Normal, IL
  • NPI 1780670596
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1821714940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E MAIN ST",
            "city": "BRAIDWOOD",
            "state": "IL",
            "postal_code": "604081912",
            "telephone_number": "815-390-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 JACOBSSEN DR STE C",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616280",
            "telephone_number": "815-390-7271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 E Main St",
            "address_purpose": "LOCATION",
            "city": "Braidwood",
            "state": "IL",
            "postal_code": "604081912",
            "country_code": "US",
            "telephone_number": "815-390-7271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIGNATURE RETINA CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "SUMIT",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "815-390-7271",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Shoultz, RBT
• Melissa Siddall Siddall, ST
• Harris Hameed Siddiqui, MD
• Mumtaz A Siddiqui, M.D.
• Sara Josephine Siegmund, AU.D.
• Richard L. Sikora, D.D.S.
• Rachel Simon, L.C.P.C.
• Heidi Simpson
• Caitlin Alyse Sims, CRNA
• Gurpreet Singh, M.D

• Retina Specialist (Ophthalmology) Physician in Normal, IL
• Providers in Normal, IL by specialty
• Retina Specialist (Ophthalmology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.