Individual
BIRVA K SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10436 SOUTHWEST HWY, SUITE 101, CHICAGO RIDGE, IL 60415-2282
(708) 423-4192
(708) 952-0329
Mailing address
4684 DEPT, CAROL STREAM, IL 60122-4684
(708) 423-4192
(708) 952-0329
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010543
IL
152WP0200X
Pediatric Optometrist
046010543
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BLUE CROSS & BLUE SHEILD ESC # 01621679
IL
05
—
046010543
—
IL
01
—
1083684922
THE EYE SPECIALISTS CENTER, LLC GROUP NPI 1083684922
IL
01
—
1083684922
THE EYE SPECIALISTS CENTER, LLC GROUP NPI 1083684922
IN
01
—
12385422
CAQH
IL
01
—
14D2054175
CLIA # 14D2054175 EXP 2-14-2015 CHICAGO RIDGE LOCATION
IL
01
—
1699802421
OPTICAL THE EYE SPECIALISTS CENTER, LLC GROUP NPI 1699802421
IL
01
—
1700191012
UNIVERSITY OF CHICAGO MEDICAL CENTER NPI
IL
01
—
200871680
INDIANA GROUP MEDICAID LEGACY PTAN # 200871680
IN
01
—
253350
ILLINOIS MEDICARE GROUP PTAN 253350
IL
01
—
253350
INDIANA MEDICARE GROUP PTAN 253350
IN
01
—
502720062
MEDICARE PTAN
IL
01
—
6180260001
DEMERC SUPPLIER PTAN 6180260001 THE EYE SPECIALISTS CENTER, LLC
IL
01
—
CK7818
RAILROAD MEDICARE ESC GROUP# CK7818
IL
Enumeration date
06/13/2012
Last updated
10/18/2013
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