Ketan K Sheladia, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-009646 Issued in IL

Practice address

5109 S Pulaski Rd
Unit D
Chicago, IL 60632-4219

Phone

(773) 284-9844

Fax

(773) 284-9827

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Plainfield Vision Center LLC

  • Optometrist
  • Countryside, IL
  • NPI 1194016717
  NPD (past) Authorized official
• Ogden Vison Center LLC

  • Optometrist
  • Downers Grove, IL
  • NPI 1356117501
  NPD (past)
• Pearle Vision

  • Optometrist
  • Chicago, IL
  • NPI 1528279981
  NPD (past)
• Pulaski Vision Center LLC

  • Optometrist
  • Chicago, IL
  • NPI 1215190384
  NPD (past)
• The Riverside Eye Corp

  • Durable Medical Equipment & Medical Supplies
  • North Riverside, IL
  • NPI 1982764759
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384128000000",
    "number": "1982746848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 S PULASKI RD",
            "address_2": "UNIT D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324219",
            "telephone_number": "773-284-9844",
            "fax_number": "773-284-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 S PULASKI RD",
            "address_2": "UNIT D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324219",
            "telephone_number": "773-284-9844",
            "fax_number": "773-284-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELADIA",
        "first_name": "KETAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "221691",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James C Sheinin, MD
• Sandra Lynn Sheinin, MD
• Joanna Sheinkop Sevim, DPM
• Mitchell B. Sheinkop, M.D.
• Anjali Shekar, M.D.
• Aquila Shelby, APRN-FNP-C
• Diane C Shelby, M.ED.
• Robert Dennis Shelby, LCSW
• Samantha Michael Shelby, RBT
• Sarah Shelby, PHD

• 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 Nov 11, 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.