MIGUEL ANGEL SANDOVAL OD
NPI 1871376996
Optometrist in Chicago, IL

Q: 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.

Q: What is Miguel Sandoval'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 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 13 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.

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: October 25, 2026.

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

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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

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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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Miguel Sandoval reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Buena Vista Optical, P.C.

Same address

Clinic/Center

6455 S KEDZIE AVE
Chicago, IL 60629

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Buena Vista Optical PC
4 clinicians in this Medicare group

NPI 1740464296 (773) 863-9234

Visionworks, Inc.

20 mi

Optometrist

239 GOLF MILL CTR, STE 255
Niles, IL 60714

Reassigned Medicare billing, Illinois enrollment
108 clinicians in this Medicare group

NPI 1831115906 (847) 297-2286

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

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