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PUJA PATEL
NPI 1568041978
Optometrist in Oak Lawn, IL

Active since April 04, 2021PECOS EnrolledAccepts Medicare Assignment
4663 W 95TH ST, OAK LAWN, IL 60453(708) 636-0600(708) 636-0606 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2024, Apr 4, 2021 (2 updates tracked since 2021).

About Puja Patel NPPES

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

PUJA PATEL (NPI 1568041978) is an individual optometrist in Oak Lawn, Illinois, licensed in Illinois (46011605) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1568041978
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NamePUJA PATEL
Location Address4663 W 95TH STOak Lawn, IL 60453-2540
Mailing Address2106 N Frolic AveWaukegan, IL 60087-3592 · (847) 338-7028
Phone(708) 636-0600
Fax(708) 636-0606
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 4, 2021
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1568041978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 46011605
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4663 W 95TH ST, Oak Lawn, IL 60453
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Secondary Practice Location 1

Location 110701 East BlvdCleveland, OH 44106-1702 · Phone (216) 791-3800 ext. 65177

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Puja Patel 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 ID6507242245
PECOS Enrollment IDI20221003002143
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

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 office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
43 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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 4

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

DR. STEPHANIE GARZA OD
Optometrist
4663 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 636-0600
DR. BRADLEY R. COGSWELL O.D.
Optometrist
4663 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 636-0600
HAROLD E DAVIS & TERRY ALAN TRUST ETAL
Optometrist
4663 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 636-0600
DR. ROBERT L. DAVIS O.D.
Optometrist
4663 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 636-0600

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 Puja Patel's NPI number?

The NPI number for Puja Patel is 1568041978. It was assigned to this individual provider in the NPPES registry on April 4, 2021.

Where is Puja Patel located?

Puja Patel practices at 4663 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 636-0600.

What is Puja Patel's specialty?

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

Is Puja Patel enrolled in Medicare?

Yes. Puja Patel 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 Puja Patel accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Puja Patel 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 Puja Patel was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.