Individual provider Active NPI

Mona Sood, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1952463358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
1243 S Wabash Ave
#101
Chicago, IL 60605-2473
Phone
(312) 663-4250
Fax
(312) 663-4270
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

1243 S Wabash Ave
#101
Chicago, IL 60605-2473

Mailing address

1243 S Wabash Ave
#101
Chicago, IL 60605-2473
Phone (312) 663-4250

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
I20080924000574 IL Practitioner - Optometry 2668575119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village Eye Care LTDGroup PAC ID 2567565088, 8 clinicians

Practice addresses (Care Compare)

622 N Clark St
Chicago, IL 60660-1208
Phone (773) 743-1221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Village Eye Care LTD Optometrist CurrentSince Feb 29, 2016 Accepting new patients

Locations

1243 S Wabash Ave
Unit 101
Chicago, IL 60605
Phone (312) 663-4250

1243 S Wabash Ave
#101
Chicago, IL 60605
Phone (312) 663-4250

Organizations & group practices 1

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952463358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 S WABASH AVE",
            "address_2": "#101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052473",
            "telephone_number": "312-663-4250",
            "fax_number": "312-663-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 S WABASH AVE",
            "address_2": "#101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052473",
            "telephone_number": "312-663-4250",
            "fax_number": "312-663-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOD",
        "first_name": "MONA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.