Individual provider Active NPI

Mubashra S Tahir, O.D.

  • Optometrist
  • Lansing, IL
National Provider Identifier
1972626240
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-008702 Issued in IL
Practice address
3224 Ridge Rd Ste 102
Lansing, IL 60438-3191
Phone
(708) 895-4422
Fax
(708) 895-4482
NPI assigned
Apr 9, 2007
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-008702 IL Primary

Addresses

Primary practice location

3224 Ridge Rd Ste 102
Lansing, IL 60438-3191

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

6201 W 95th St
Oak Lawn, IL 60453-2701
Phone (708) 626-9393

Other practice location 2

4837 Cal Sag Rd
Crestwood, IL 60445-4415
Phone (708) 489-2020

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
I20191231002175 IL Practitioner - Optometry 7012341910 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-008702ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Jan 29, 2026 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Jan 29, 2026 Accepting new patients
Christina J. Levi O D P C Optometrist Past Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Past Accepting new patients

Locations

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

3224 Ridge Rd
Ste 102
Lansing, IL 60438
Phone (708) 895-4422

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1972626240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 RIDGE RD STE 102",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383191",
            "telephone_number": "708-895-4422",
            "fax_number": "708-895-4482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6201 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532701",
            "country_code": "US",
            "telephone_number": "708-626-9393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4837 Cal Sag Rd",
            "address_purpose": "LOCATION",
            "city": "Crestwood",
            "state": "IL",
            "postal_code": "604454415",
            "country_code": "US",
            "telephone_number": "708-489-2020",
            "fax_number": "708-489-5122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAHIR",
        "first_name": "MUBASHRA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

Verify at the official NPI Registry.