Individual provider Active NPI

Sneha Paul

  • Optometrist
  • Park Ridge, IL
National Provider Identifier
1881319424
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011714 Issued in IL
Practice address
2 W Talcott Rd Ste 30
Park Ridge, IL 60068-5559
Phone
(847) 696-2434
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 046011714 IL Primary

Addresses

Primary practice location

2 W Talcott Rd Ste 30
Park Ridge, IL 60068-5559

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20230111000144 IL Practitioner - Optometry 8325418205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2 W Talcott Rd
Suite 30
Park Ridge, IL 60068-5559
Phone (847) 696-2434

310 S Weber Rd
Bolingbrook, IL 60490-5500
Phone (630) 771-0600

5408 N Clark St
Chicago, IL 60640-1210
Phone (773) 275-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Dec 19, 2022 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Dec 19, 2022 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients

Locations

310 S Weber Rd
Bolingbrook, IL 60490
Phone (630) 771-0600

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

4740 N Lincoln Ave
Chicago, IL 60625
Phone (773) 275-2900

865 Elmhurst Rd
Des Plaines, IL 60016
Phone (847) 437-1005

1114 W Devon Ave
Elk Grove Village, IL 60007
Phone (847) 895-7222

122 N Oak Park Ave
Oak Park, IL 60301
Phone (708) 524-2020

2 W Talcott Rd
Ste 30
Park Ridge, IL 60068
Phone (847) 696-2434

55 E Main St
Roselle, IL 60172
Phone (630) 529-0993

1979 Huntley Rd
West Dundee, IL 60118
Phone (847) 836-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 3

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": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1881319424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W TALCOTT RD STE 30",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685559",
            "telephone_number": "847-696-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "SNEHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.