O.D. Birva K Shah, NPI 1134481211
Optometrist in Chicago Ridge, IL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1134481211
NPI Entity Type Individual
Provider Name O.D. Birva K Shah
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 10436 Southwest Hwy, Suite 101, Chicago Ridge, IL, US
Provider Mailing Address 4684 Dept, Carol Stream, IL, US, 601224684
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

152W00000X

Taxonomy Name Optometrist
Classification

Optometrist

Group

Eye and Vision Services Providers

License No. 046010543
License State IL
Description Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Other Name

OD Birva A Kadakia
Former Name

Business Address

O.D. Birva K Shah
10436 Southwest Hwy
Suite 101

Chicago Ridge, IL, US

Phone: 708-423-4192
Fax: 708-952-0329

Mailing Address

O.D. Birva K Shah
4684 Dept
Carol Stream, IL, US
ZIP 601224684
Phone: 708-423-4192
Fax: 708-952-0329

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

152WP0200X

Eye and Vision Services Providers

Optometrist

046010543 IL No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
01621679 IL BLUE CROSS & BLUE SHEILD ESC # 01621679 01
200871680 IN INDIANA GROUP MEDICAID LEGACY PTAN # 200871680 01
046010543 IL MEDICAID 05
1083684922 IN THE EYE SPECIALISTS CENTER, LLC GROUP NPI 1083684922 01
1700191012 IL UNIVERSITY OF CHICAGO MEDICAL CENTER NPI 01
CK7818 IL RAILROAD MEDICARE ESC GROUP# CK7818 01
1083684922 IL THE EYE SPECIALISTS CENTER, LLC GROUP NPI 1083684922 01
12385422 IL CAQH 01
1699802421 IL OPTICAL THE EYE SPECIALISTS CENTER, LLC GROUP NPI 1699802421 01
502720062 IL MEDICARE PTAN 01
14D2054175 IL CLIA # 14D2054175 EXP 2-14-2015 CHICAGO RIDGE LOCATION 01
253350 IN INDIANA MEDICARE GROUP PTAN 253350 01
253350 IL ILLINOIS MEDICARE GROUP PTAN 253350 01
6180260001 IL DEMERC SUPPLIER PTAN 6180260001 THE EYE SPECIALISTS CENTER, LLC 01

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