1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Optometrist
  6. NPI Profile

MIGUEL ANGEL SANDOVAL OD
NPI 1871376996
Optometrist in Chicago, IL

Active since August 14, 2023PECOS Enrolled
6455 S KEDZIE AVE, CHICAGO, IL 60629(773) 863-9234(773) 863-9274 Get Directions Write a Review

NPPES record last updated: September 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2025, Aug 30, 2023, Aug 14, 2023 (3 updates tracked since 2023).

About Miguel Angel Sandoval Od NPPES

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

MIGUEL ANGEL SANDOVAL OD (NPI 1871376996) is an individual optometrist in Chicago, Illinois, licensed in Illinois (046011783) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Evergreen Park.

NPPES Registry Identity

NPI1871376996
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMIGUEL ANGEL SANDOVALCredential: OD
Location Address6455 S KEDZIE AVEChicago, IL 60629-3292
Mailing Address6455 S Kedzie AveChicago, IL 60629-3292 · (773) 863-9234
Phone(773) 863-9234
Fax(773) 863-9274
Sole ProprietorNo
Enumeration DateAugust 14, 2023
Last NPPES UpdateSeptember 20, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2025
✔ NPI 1871376996 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 · 046011783
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.
6455 S KEDZIE AVE, Chicago, IL 60629
Open in Google Maps ↗

Secondary Practice Location 1

Location 19644 S Western AveEvergreen Park, IL 60805-2803 · Phone (708) 422-7519

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 (PECOS)

Miguel Angel Sandoval Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60629 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 5

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

NEHA SHAH O.D.
Optometrist
6455 S KEDZIE AVE
CHICAGO, IL 60629
Cook County (773) 863-9234
PARISA MOBINI O.D.
Optometrist
6455 S KEDZIE AVE
CHICAGO, IL 60629
Cook County (773) 863-9234
FERNAND FELIPE JIMENEZ O.D.
Optometrist
6455 S KEDZIE AVE
CHICAGO, IL 60629
Cook County (773) 863-9234
DR. TODD WAYNE SIMS O.D.
Optometrist
6455 S KEDZIE AVE
CHICAGO, IL 60629
Cook County (773) 863-9234
BUENA VISTA OPTICAL, P.C.
Clinic/Center
6455 S KEDZIE AVE
CHICAGO, IL 60629
Cook County (773) 863-9234

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 Miguel Sandoval's NPI number?

The NPI number for Miguel Sandoval is 1871376996. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Where is Miguel Sandoval located?

Miguel Sandoval practices at 6455 S Kedzie Ave, Chicago, IL 60629. The listed phone number is (773) 863-9234.

What is Miguel Sandoval's specialty?

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

Is Miguel Sandoval enrolled in Medicare?

Yes. Miguel Sandoval is registered in the Medicare PECOS enrollment system.

What insurance does Miguel Sandoval 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 Miguel Sandoval 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 Miguel Sandoval was last updated on September 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.