| Puja Patel, | |
|
4663 W 95th St, Oak Lawn, IL 60453-2540 | |
| (708) 636-0600 | |
| (708) 636-0606 |
| Full Name | Puja Patel |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 4663 W 95th St, Oak Lawn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568041978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 46011605 (Illinois) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Provider Name | Harold E Davis & Terry Alan Trust Etal |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265621361 PECOS PAC ID: 1456422070 Enrollment ID: O20080625000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Puja Patel, 2106 N Frolic Ave, Waukegan, IL 60087-3592 Ph: (847) 338-7028 | Puja Patel, 4663 W 95th St, Oak Lawn, IL 60453-2540 Ph: (708) 636-0600 |
Dr. Jennifer L Redmond, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4445 W 95th St, Oak Lawn, IL 60453 Phone: 708-425-6500 Fax: 708-425-1455 | |
Myeyedr Optometry Of Illinois, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10550 S Cicero Ave, Oak Lawn, IL 60453 Phone: 708-499-3911 | |
Dr. Austin William Toresdahl, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6201 W 95th St, Oak Lawn, IL 60453 Phone: 708-636-9393 Fax: 708-636-2022 | |
Dr. Stephanie Garza, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4663 W 95th St, Oak Lawn, IL 60453 Phone: 708-636-0600 | |
Drs. Leahy & Disalvo-ost, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 4445 W 95th St, Oak Lawn, IL 60453 Phone: 708-425-6500 Fax: 708-425-1455 | |
Dr. Husna Syeda, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6201 W 95th St, Oak Lawn, IL 60453 Phone: 708-636-9393 Fax: 708-636-2022 | |
Dr. Bradley R. Cogswell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4663 W 95th St, Oak Lawn, IL 60453 Phone: 708-636-0600 Fax: 708-636-0606 |