Birva K Shah, OD | |
10436 Southwest Hwy, Suite 101, Chicago Ridge, IL 60415-2282 | |
(708) 423-4192 | |
(708) 952-0329 |
Full Name | Birva K Shah |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 10436 Southwest Hwy, Chicago Ridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134481211 | NPI | - | NPPES |
01621679 | Other | IL | BLUE CROSS & BLUE SHEILD ESC # 01621679 |
200871680 | Other | IN | INDIANA GROUP MEDICAID LEGACY PTAN # 200871680 |
046010543 | Medicaid | IL | |
1083684922 | Other | IN | THE EYE SPECIALISTS CENTER, LLC GROUP NPI 1083684922 |
1700191012 | Other | IL | UNIVERSITY OF CHICAGO MEDICAL CENTER NPI |
CK7818 | Other | IL | RAILROAD MEDICARE ESC GROUP# CK7818 |
1083684922 | Other | IL | THE EYE SPECIALISTS CENTER, LLC GROUP NPI 1083684922 |
12385422 | Other | IL | CAQH |
1699802421 | Other | IL | OPTICAL THE EYE SPECIALISTS CENTER, LLC GROUP NPI 1699802421 |
502720062 | Other | IL | MEDICARE PTAN |
14D2054175 | Other | IL | CLIA # 14D2054175 EXP 2-14-2015 CHICAGO RIDGE LOCATION |
253350 | Other | IN | INDIANA MEDICARE GROUP PTAN 253350 |
253350 | Other | IL | ILLINOIS MEDICARE GROUP PTAN 253350 |
6180260001 | Other | IL | DEMERC SUPPLIER PTAN 6180260001 THE EYE SPECIALISTS CENTER, LLC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046010543 (Illinois) | Primary |
152WP0200X | Optometrist - Pediatrics | 046010543 (Illinois) | Secondary |
Provider Name | The University Of Chicago Medical Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
Provider Name | Southland Eye Associates Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790851806 PECOS PAC ID: 4587550223 Enrollment ID: O20040227000517 |
Provider Name | Eye Specialist Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669945440 PECOS PAC ID: 9133462542 Enrollment ID: O20190528000236 |
Mailing Address | Practice Location Address |
---|---|
Birva K Shah, OD 4684 Dept, Carol Stream, IL 60122-4684 Ph: (708) 423-4192 | Birva K Shah, OD 10436 Southwest Hwy, Suite 101, Chicago Ridge, IL 60415-2282 Ph: (708) 423-4192 |
For Eyes Optical Company Of Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 Phone: 708-422-9390 | |
Mark S. Sblendorio, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9900 Ridgeland Ave, Chicago Ridge, IL 60415 Phone: 708-422-8955 | |
Darin Strako, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10436 Southwest Hwy Ste 101, Chicago Ridge, IL 60415 Phone: 085-864-9227 Fax: 708-423-4216 | |
Sblendorio Vision Care Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9900 Ridgeland Ave, Chicago Ridge, IL 60415 Phone: 708-422-9721 Fax: 708-422-8955 | |
Courtney Bandemer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10436 Southwest Hwy # 1, Chicago Ridge, IL 60415 Phone: 708-873-0088 Fax: 708-423-4216 | |
Karynn Allen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 320 Chicago Ridge Mall, Ste #c15, Chicago Ridge, IL 60415 Phone: 708-423-0033 |