Lakeshore Ophthalmology PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LAKESHORE OPHTHALMOLOGY PLLC

Practice address

2525 S Michigan Ave FL 8
Chicago, IL 60616-2315

Phone

(312) 567-7610

Fax

(312) 567-8706

NPI assigned

Feb 24, 2021

Organization subpart

No

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

Authorized official

Name

Sandeep K Bhatia, MDNPI 1003034927

Title

Owner

Phone

(312) 625-2420

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandeep K Bhatia, M.D.

  • Ophthalmology Physician
  • Jenks, OK
  • NPI 1003034927
  NPD Authorized official

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1952995474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 S INDIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161302",
            "telephone_number": "312-399-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE FL 8",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162315",
            "telephone_number": "312-567-7610",
            "fax_number": "312-567-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE OPHTHALMOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-625-2420",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeshore Infectious Diseases Consultant Corporation
• Lakeshore Integrative Healthcare, LTD
• Lakeshore Obstetrics and Gynecology LLC
• Lakeshore Opco LLC
• Lakeshore Opco LLC
• Lakeshore Ophthalmology, PLLC
• Lakeshore Premium Healthcare, Inc
• Lakeshore Psychiatry PLLC
• Lakeshore Psychological Services, PLLC
• Lakeshore Pulmonary Associates, LLC

• Ophthalmology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.