DR. FORUM PURNENDU DAVE O.D.
NPI 1043695901
Optometrist in Des Plaines, IL

Q: What is Forum Dave's NPI number?

The NPI number for Forum Dave is 1043695901. It was assigned to this individual provider in the NPPES registry on July 21, 2015.

Q: What is Forum Dave's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Forum Dave was last updated on November 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 21, 2015PECOS EnrolledAccepts Medicare Assignment

1070 E OAKTON ST, DES PLAINES, IL 60018(847) 294-6722 Get Directions Write a Review

NPPES record last updated: November 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Forum Purnendu Dave O.d. NPPES

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

DR. FORUM PURNENDU DAVE O.D. (NPI 1043695901) is an individual optometrist in Des Plaines, Illinois, licensed in Illinois (046.010886) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2015).

NPPES Registry Identity

NPI1043695901

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. FORUM PURNENDU DAVECredential: O.D.

Location Address1070 E OAKTON STDes Plaines, IL 60018-2033

Mailing Address1070 E Oakton StDes Plaines, IL 60018-2033 · (847) 294-6722

Phone(847) 294-6722

Sole ProprietorYes

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2015

Enumeration DateJuly 21, 2015

Last NPPES UpdateNovember 8, 2016

✔ NPI 1043695901 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 · 046.010886

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.

1070 E OAKTON ST, Des Plaines, IL 60018

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Forum Purnendu Dave O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355638818

PECOS Enrollment IDI20160927001307

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

41 services41 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAM SALITURO INC

Clinic/Center

1070 E OAKTON ST
DES PLAINES, IL 60018

Cook County (847) 294-6722

DR. SAM M. SALITURO JR. O.D.

Optometrist

1070 E OAKTON ST
DES PLAINES, IL 60018

Cook County (847) 294-6722

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 Forum Dave's NPI number?

The NPI number for Forum Dave is 1043695901. It was assigned to this individual provider in the NPPES registry on July 21, 2015.

Where is Forum Dave located?

Forum Dave practices at 1070 E Oakton St, Des Plaines, IL 60018. The listed phone number is (847) 294-6722.

What is Forum Dave's specialty?

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

Is Forum Dave enrolled in Medicare?

Yes. Forum Dave is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Forum Dave accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Forum Dave 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 Forum Dave was last updated on November 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.