Individual
MAANCY MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
3500 W PETERSON AVE STE 401, CHICAGO, IL 60659-3307
(773) 588-3090
(773) 588-3210
Mailing address
329 W 18TH ST, CHICAGO, IL 60616-1120
(312) 929-3312
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008200-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046011068
—
IL
01
—
F400390939
PTAN
IL
01
—
F400390940
PTAN
IL
01
—
F400390941
PTAN
IL
01
—
F400390942
PTAN
IL
Enumeration date
07/15/2014
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us