Active NPI
Sonal Trivedi, O.D.
- Optometrist
- Oak Brook, IL
National Provider Identifier
1912381567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 346003672
- Practice address
- 280 Oakbrook Center Mall
Oak Brook, IL 60523-1841 - Phone
- (630) 368-1609
- NPI assigned
- Jul 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 346003672 | IL | Primary |
Addresses
Primary practice location
280 Oakbrook Center Mall
Oak Brook, IL 60523-1841
Mailing address
1336 W Ohio St
Apt 4R
Chicago, IL 60642-6468
Phone (312) 909-3502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 346003672 | IL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1912381567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1336 W OHIO ST",
"address_2": "APT 4R",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606426468",
"telephone_number": "312-909-3502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 OAKBROOK CENTER MALL",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231841",
"telephone_number": "630-368-1609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIVEDI",
"first_name": "SONAL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "346003672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.