Miguel Angel Sandoval, OD in Chicago, IL - Medicare Optometrist Provider

Miguel Angel Sandoval, OD is a medicare enrolled "Optometrist" provider in Chicago, Illinois. His current practice location is 6455 S Kedzie Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 863-9234.

Miguel Angel Sandoval is licensed to practice in Illinois (license number 046011783) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871376996.

Contact Information

	Miguel Angel Sandoval, OD
	6455 S Kedzie Ave, Chicago, IL 60629-3292
	(773) 863-9234
	(773) 863-9274

Map and Direction

Healthcare Provider's Profile

Full Name	Miguel Angel Sandoval
Gender	Male
Speciality	Optometrist
Location	6455 S Kedzie Ave, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871376996
Provider Enumeration Date: 08/14/2023
Last Update Date: 09/20/2025

Medicare PECOS Information:

PECOS PAC ID: 6406201367
Enrollment ID: I20231012001042

Medical Identifiers

Medical identifiers for Miguel Angel Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871376996	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	046011783 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miguel Angel Sandoval allows following entities to bill medicare on his behalf.

Provider Name	Visionworks Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831115906 PECOS PAC ID: 4385639616 Enrollment ID: O20040923001173

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miguel Angel Sandoval is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Miguel Angel Sandoval, OD 6455 S Kedzie Ave, Chicago, IL 60629-3292 Ph: (773) 863-9234	Miguel Angel Sandoval, OD 6455 S Kedzie Ave, Chicago, IL 60629-3292 Ph: (773) 863-9234

Reviews and Comments

Optometrist in Chicago, IL

National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 205 W. 87th Street, Suite D, Chicago, IL 60620 Phone: 773-496-5433
Chander Vision Group Ltd 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

Miguel Angel Sandoval, OD - Medicare Optometrist in Chicago, IL