Ami Patel OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010011 Issued in IL

Legal business name

AMI PATEL OD INC

Practice address

1200 E 53Rd St
Chicago, IL 60615-4008

Phone

(773) 493-8372

Fax

(773) 493-9485

NPI assigned

Jun 10, 2013

Last updated

Jun 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda Collier

Title

Administrator

Phone

(815) 634-8597

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Drew Klein, O.D.

  • Optometrist
  • Bloomington, IL
  • NPI 1710039003
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1952749178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E 53RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154008",
            "telephone_number": "773-493-8372",
            "fax_number": "773-493-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E 53RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154008",
            "telephone_number": "773-493-8372",
            "fax_number": "773-493-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMI PATEL OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-634-8597"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.