Active NPI
Sanjana Shashidhar, OD
- Pediatric Optometrist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Optometrist
- License
- 2021048811
- Practice address
- 1 Childrens PL
Dept Ophthalmology, Ste 3110
Saint Louis, MO 63110-1002 - Phone
- (314) 454-6026
- Fax
- (866) 936-4559
- NPI assigned
- Dec 15, 2021
- Last updated
- Sep 30, 2025
- 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 |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | 2021048811 | MO | Primary |
Addresses
Primary practice location
1 Childrens PL
Dept Ophthalmology, Ste 3110
Saint Louis, MO 63110-1002
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 454-6026
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Childrens PL
Suite 3110
Saint Louis, MO 63110-1002
Phone (314) 454-6026
1120 W Lake Cook Rd
Suite C
Buffalo Grove, IL 60089-1970
Phone (847) 459-6060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046011695 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University | Current | Accepting new patients | |
| Midwestern University | Optometrist | Current | Accepting new patients |
| Premier Eye Care & Surgery LTD | Current | Accepting new patients | |
| Midwestern University | Current | Accepting new patients | |
| Curators of the University of Missouri | Optometrist | Current | Accepting new patients |
| Curators of the University of Missouri | Current | Accepting new patients | |
| Curators of the University of Missouri | Optometrist | Current | Accepting new patients |
| Washington University | Current | Accepting new patients |
Locations
27750 W Highway 22
Ste 200
Barrington, IL 60010
Phone (847) 382-4116
1120 W Lake Cook Rd
Buffalo Grove, IL 60089
Phone (847) 459-6060
1120 W Lake Cook Rd
Ste C
Buffalo Grove, IL 60089
Phone (847) 459-6060
26520 Network Pl
Chicago, IL 60673
Phone (630) 743-4500
3450 Lacey Rd
Downers Grove, IL 60515
Phone (630) 743-4500
3450 Lacey Rd
Ste 211
Downers Grove, IL 60515
Phone (630) 743-4500
3450 Lacey Rd
Ste 602
Downers Grove, IL 60515
Phone (630) 743-4500
1 Childrens Pl
Ste 3110
Saint Louis, MO 63110
Phone (314) 454-6026
1 University Blvd
Saint Louis, MO 63121
Phone (314) 516-5131
3940 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 516-5016
4901 Forest Park Ave
Fl 6
Saint Louis, MO 63108
5114 Mid America Plz
Ste 3A
Saint Louis, MO 63129
Phone (314) 454-6120
7840 Natural Bridge Rd
Saint Louis, MO 63121
Phone (314) 382-6400
Interoperability endpoints
- sanjana.shashidhar.p1@direct.midwesternuniversity.nextgenshare.com
- sshashidhar@premiereyecare.imwdirect.com
- sshashidhar19804@direct.midwestern.edu
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1013957562
-
- Ophthalmology Physician
- Buffalo Grove, IL
- NPI 1306905005
-
dba Center for Eye Care
- Optometrist
- Saint Louis, MO
- NPI 1679664718
-
dba Center for Eye Care
- Optometrist
- Saint Louis, MO
- NPI 1922190198
-
dba MWU Multispecialty Clinic Downers Grove
- Clinic/Center
- Downers Grove, IL
- NPI 1538445317
-
dba Mizzou Pharmacy - Southwest Blvd
- Community/Retail Pharmacy
- Jefferson City, MO
- NPI 1740083641
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
-
dba Midwestern University Eye Institute-Downers Grove
- Optometrist
- Downers Grove, IL
- NPI 1295126324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1922767078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412011",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742011",
"telephone_number": "314-454-6026",
"fax_number": "866-936-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS PL",
"address_2": "DEPT OPHTHALMOLOGY, STE 3110",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101002",
"telephone_number": "314-454-6026",
"fax_number": "866-936-4559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHASHIDHAR",
"first_name": "SANJANA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-15",
"last_updated": "2025-09-30",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "MO",
"license": "2021048811",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "1 Childrens Pl",
"address_2": "Dept Ophthalmology, Ste 3110",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.