Individual provider Active NPI

Noreen Shaikh

  • Optometrist
  • Chicago, IL
National Provider Identifier
1871975706
Registry record updated Jun 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010885 Issued in IL
Practice address
940 W Adams St
Suite 302
Chicago, IL 60607-3031
Phone
(312) 432-0080
NPI assigned
Jun 27, 2015
Last updated
Jun 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010885 IL Primary

Addresses

Primary practice location

940 W Adams St
Suite 302
Chicago, IL 60607-3031

Mailing address

940 W Adams St
Suite 302
Chicago, IL 60607-3031

Other names 1

  • Noreen Shaikh Chaudhry Other name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160415000542 IL Practitioner - Optometry 8224336847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046010885ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin Eye Care CurrentSince Apr 5, 2016 Accepting new patients
Benjamin Eye Care CurrentSince Apr 5, 2016 Accepting new patients
Monmouth Retina Consultants, P.a. Current Accepting new patients
Lurie Children's Medical Group, LLC Past Accepting new patients

Locations

47 6th Ave
Ste H
La Grange, IL 60525
Phone (708) 354-2008

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nshaikh@monmouthretina.intellechartdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435363200000",
    "number": "1871975706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 W ADAMS ST",
            "address_2": "SUITE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W ADAMS ST",
            "address_2": "SUITE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073031",
            "telephone_number": "312-432-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "NOREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-27",
        "last_updated": "2015-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOREEN",
            "last_name": "CHAUDHRY",
            "middle_name": "SHAIKH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.