Individual provider Active NPI

Parisha Shah, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1962767525
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010586 Issued in IL
Practice address
2222 W Division St Ste 135
Chicago, IL 60622-2967
Phone
(737) 376-2020
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003751A IN
Optometrist 152W00000X 046010586 IL Primary

Addresses

Primary practice location

2222 W Division St Ste 135
Chicago, IL 60622-2967

Mailing address

901 W Madison St Unit 601
Chicago, IL 60607-3371

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
I20121128000127 IL Practitioner - Optometry 9335391226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lotus Eyecare IncGroup PAC ID 1850477225, 2 clinicians

Practice addresses (Care Compare)

2222 W Division St
Suite 135
Chicago, IL 60622-2967
Phone (773) 376-2020

Merit-based Incentive Payment System (MIPS)

Final score
96.27 of 100Reported as group
Quality
95.62
Improvement activities
40
Cost
70.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046010586ILMDOptometrist
18003751AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Eyecare, Inc. CurrentSince Jan 30, 2019 Accepting new patients

Locations

2222 W Division St
Ste 135
Chicago, IL 60622
Phone (773) 276-9030

Interoperability endpoints

  • Direct secure messaging: pshah@wickerparkeye.direct.eyemdemr.com

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1962767525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MADISON ST UNIT 601",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST STE 135",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222967",
            "telephone_number": "737-376-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PARISHA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003751A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.