Individual provider Active NPI

Ramandeep Kaur Purewal, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1891074332
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010460 Issued in IL
Practice address
1801 S Racine Ave
Chicago, IL 60608-3777
Phone
(773) 257-0355
Fax
(773) 257-0655
NPI assigned
Aug 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010460 IL Primary

Addresses

Primary practice location

1801 S Racine Ave
Chicago, IL 60608-3777

Mailing address

1801 S Racine Ave
Chicago, IL 60608-3777
Phone (773) 257-0355

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
I20130128000190 IL Practitioner - Optometry 2860646940 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.010460ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince May 13, 2024 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Aug 8, 2023 Accepting new patients
Southwest Optometric Associates P C Optometrist CurrentSince Jun 6, 2022 Accepting new patients
Visionworks, Inc CurrentSince Aug 8, 2023 Accepting new patients
Pilsen Eye Care PLLC Optometrist CurrentSince Nov 8, 2025 Accepting new patients
Roby OD and Associates PC Optometrist PastSince May 3, 1999 Accepting new patients

Locations

3125 S Ashland Ave
Ste 204
Chicago, IL 60608
Phone (773) 890-1100

239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286

2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133

16025 W Bluemound Rd
Brookfield, WI 53005
Phone (262) 785-0490

4800 Golf Rd
Ste 436
Eau Claire, WI 54701
Phone (715) 834-8404

2500 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 453-2315

Organizations & group practices 6

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": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1891074332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S RACINE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083777",
            "telephone_number": "773-257-0355",
            "fax_number": "773-257-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S RACINE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083777",
            "telephone_number": "773-257-0355",
            "fax_number": "773-257-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUREWAL",
        "first_name": "RAMANDEEP",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.