SHAH VISION CONSULTANTS INC
NPI 1003119694
Optometrist in Rockford, IL

Active since December 21, 2010
575 S PERRYVILLE RD, ROCKFORD, IL 61108(815) 315-9358(815) 315-9358 Get Directions Write a Review

NPPES record last updated: July 14, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shah Vision Consultants Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAH VISION CONSULTANTS INC (NPI 1003119694) is a healthcare organization registered as an optometrist in Rockford, Illinois and active in the NPI registry since December 2010. The organization lists Prayag Shah, Owner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1003119694
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSHAH VISION CONSULTANTS INC
Location Address575 S PERRYVILLE RDRockford, IL 61108-2530
Mailing Address575 S Perryville RdRockford, IL 61108-2530 · (815) 315-9358 · Fax (815) 315-9358
Fax(815) 315-9358
Organization SubpartNo
Authorized OfficialPrayag ShahOwner/optometrist · (815) 315-9358
Enumeration DateDecember 21, 2010
Last NPPES UpdateJuly 14, 2014
✔ NPI 1003119694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046009516
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
575 S PERRYVILLE RD, Rockford, IL 61108

Other Identifiers 1

Medicare PINIL3076IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shah Vision Consultants Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWisconsinEnrollment IDO20141118000700Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Shah Vision Consultants Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Optometry
NPI 1609603448
575 S PERRYVILLE RD STE 119
Rockford, IL 61108
(779) 210-8133
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1720072184
575 S PERRYVILLE RD STE 119
Rockford, IL 61108
(847) 571-0402
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1093157992
575 S PERRYVILLE RD
Rockford, IL 61108
(815) 315-9358
✔ PECOS✔ Accepts Medicare0.1 mi
Optometry
NPI 1508857202
8038 MACINTOSH LN
Rockford, IL 61107
(815) 332-6800
✔ PECOS✔ Accepts Medicare1.4 mi
Optometry
NPI 1982076683
3220 W ARMITAGE AVE
Chicago, IL 60647
(773) 661-6615
✔ PECOS✔ Accepts Medicare70 mi
Optometry
NPI 1306931498
1706 W REYNOLDS ST
Pontiac, IL 61764
(815) 842-2439
✔ PECOS✔ Accepts Medicare98 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shah Vision Consultants Inc's NPI number?

The NPI number for Shah Vision Consultants Inc is 1003119694. It was assigned to this organization in the NPPES registry on December 21, 2010.

Where is Shah Vision Consultants Inc located?

Shah Vision Consultants Inc is located at 575 S Perryville Rd, Rockford, IL 61108. The listed phone number is (815) 315-9358.

What is Shah Vision Consultants Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Shah Vision Consultants Inc enrolled in Medicare?

Yes. Shah Vision Consultants Inc is registered in the Medicare PECOS enrollment system.

When is Shah Vision Consultants Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Wisconsin, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Shah Vision Consultants Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Shah Vision Consultants Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shah Vision Consultants Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Shah Vision Consultants Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shah Vision Consultants Inc was last updated on July 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.