Samir Patel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009715 Issued in IL

Practice address

5501 W Plainfield Rd
Countryside, IL 60525-3591

Phone

(708) 482-7744

NPI assigned

Feb 18, 2007

Last updated

Aug 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ogden Vison Center LLC

  dba Pearle Vision

  • Optometrist
  • Downers Grove, IL
  • NPI 1356117501
  NPD Authorized official
• Pulaski Vision Center LLC

  dba Pearle Vision

  • Optometrist
  • Chicago, IL
  • NPI 1215190384
  NPD Authorized official
• 95TH Vision Center LLC

  dba Pearle Vision

  • Optometrist
  • Evergreen Park, IL
  • NPI 1487203980
  Authorized official Same address or phone
• The Riverside Eye Corp

  dba pearle vision express

  • Durable Medical Equipment & Medical Supplies
  • North Riverside, IL
  • NPI 1982764759
  NPD

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1841334273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W PLAINFIELD RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253591",
            "telephone_number": "708-482-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 W PLAINFIELD RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253591",
            "telephone_number": "708-482-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payden Paramore
• Latoya Pate-Thompson
• Hardi Patel
• Meera R Patel, PHARMD
• Monica Patel
• Lauren Pazda, OTR/L
• Perform Physical Therapy, Inc.
• Amy E Perino, OTR
• Tammy L Petrovich, M.S.
• Alexandra Kristen Petz, M.A.

• Optometrist in Countryside, IL
• Providers in Countryside, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.