Puja Shah, OD | |
3220 W Armitage Ave, Chicago, IL 60647-3797 | |
(773) 661-6615 | |
(773) 698-7408 |
Full Name | Puja Shah |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 3220 W Armitage Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558675942 | NPI | - | NPPES |
046010366 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046.010366 (Illinois) | Primary |
Provider Name | Grand Central Optical Co Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649221268 PECOS PAC ID: 2264443605 Enrollment ID: O20060519000126 |
Provider Name | Krystal Klear Optical Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861529687 PECOS PAC ID: 0840414900 Enrollment ID: O20171107003324 |
Mailing Address | Practice Location Address |
---|---|
Puja Shah, OD 3220 W Armitage Ave, Chicago, IL 60647-3797 Ph: (773) 661-6615 | Puja Shah, OD 3220 W Armitage Ave, Chicago, IL 60647-3797 Ph: (773) 661-6615 |
Primary Eye Care Associates Optometrist Medicare: Medicare Enrolled Practice Location: 5460 S Archer Ave, Chicago, IL 60638 Phone: 773-735-6090 Fax: 773-581-0320 | |
Dr. Mary Gouris, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 225 N Michigan Ave, Chicago, IL 60601 Phone: 312-819-0199 | |
Aneta Anna Stoch, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3457 W 111th St, Chicago, IL 60655 Phone: 773-253-2175 | |
Solo Eye Care Printers Row, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 555 S Dearborn St, Chicago, IL 60605 Phone: 312-588-5999 Fax: 312-225-5309 | |
Dr. Thomas W Goska, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3627 N Western Ave, Chicago, IL 60618 Phone: 773-525-2022 Fax: 773-525-2024 | |
Dr. James Gerard Roth, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6857 S Pulaski Rd, Chicago, IL 60629 Phone: 773-767-5000 Fax: 773-767-5176 | |
Dr. David D Dewaard, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1056 W Wilson Ave, Chicago, IL 60640 Phone: 773-271-5774 |