Birva K Shah is a Chicago Ridge, Illinois based female Optometrist who is specialized in Optometry. Active license number of Birva K Shah is 046010543 for Optometry in Illinois. Birva K Shah 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. She 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. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Birva K Shah speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Female
Practice Address:
10436 Southwest Hwy, Suite 101, Chicago Ridge, Illinois, 60415-2282
Phone:
708-423-4192
Fax:
708-952-0329
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1134481211
NPI Enumeration Date:
13 Jun, 2012
NPI Last Update On:
18 Oct, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Birva K Shah are as mentioned below.
License Number
Specialization
State
Status
046010543
Optometry
Illinois
Primary
046010543
Optometry - Pediatrics
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Birva K Shah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
01621679
Other
Illinois
BLUE CROSS & BLUE SHEILD ESC # 01621679
200871680
Other
Indiana
INDIANA GROUP MEDICAID LEGACY PTAN # 200871680
046010543
Medicaid
Illinois
1083684922
Other
Indiana
THE EYE SPECIALISTS CENTER, LLC GROUP NPI 1083684922
1700191012
Other
Illinois
UNIVERSITY OF CHICAGO MEDICAL CENTER NPI
CK7818
Other
Illinois
RAILROAD MEDICARE ESC GROUP# CK7818
1083684922
Other
Illinois
THE EYE SPECIALISTS CENTER, LLC GROUP NPI 1083684922
12385422
Other
Illinois
CAQH
1699802421
Other
Illinois
OPTICAL THE EYE SPECIALISTS CENTER, LLC GROUP NPI 1699802421
502720062
Other
Illinois
MEDICARE PTAN
14D2054175
Other
Illinois
CLIA # 14D2054175 EXP 2-14-2015 CHICAGO RIDGE LOCATION
253350
Other
Indiana
INDIANA MEDICARE GROUP PTAN 253350
253350
Other
Illinois
ILLINOIS MEDICARE GROUP PTAN 253350
6180260001
Other
Illinois
DEMERC SUPPLIER PTAN 6180260001 THE EYE SPECIALISTS CENTER, LLC
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4684 Dept, Carol Stream, Illinois
Zip:
60122-4684
Phone Number:
708-423-4192
Fax Number:
708-952-0329
Patients can reach Birva K Shah at 10436 Southwest Hwy, Suite 101, Chicago Ridge, Illinois or can call to book an appointment on 708-423-4192. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.