DR. PRIYA K PATEL O.D.
NPI 1912348517
Optometrist in Lombard, IL

Active since July 11, 2013PECOS Enrolled
266 YORKTOWN CENTER, VISIONWORKS, LOMBARD, IL 60148(630) 261-1867 Get Directions Write a Review

NPPES record last updated: July 11, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Priya K Patel O.d. NPPES

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

DR. PRIYA K PATEL O.D. (NPI 1912348517) is an individual optometrist in Lombard, Illinois, licensed in Illinois (046010665) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912348517
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. PRIYA K PATELCredential: O.D.
Location Address266 YORKTOWN CENTER, VISIONWORKSLombard, IL 60148
Mailing Address1110 W 15th St Unit 215Chicago, IL 60608-3194 · (815) 451-1481
Sole ProprietorNo
Enumeration DateJuly 11, 2013
✔ NPI 1912348517 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 · 046010665
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.
266 YORKTOWN CENTER, Lombard, IL 60148

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Priya K Patel O.d. 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

2

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

Optometrist
239 GOLF MILL CTR, STE 255
Niles, IL 60714
  • Reassigned Medicare billing, Illinois enrollment
  • 108 clinicians in this Medicare group
Point of Service
4000 LUXOTTICA PL
Mason, OH 45040
  • Reassigned Medicare billing, Illinois enrollment
  • 82 clinicians in this Medicare group

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 60148 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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

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

Eyewear Supplier
266 YORKTOWN CENTER
LOMBARD, IL 60148

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 Priya Patel's NPI number?

The NPI number for Priya Patel is 1912348517. It was assigned to this individual provider in the NPPES registry on July 11, 2013.

Where is Priya Patel located?

Priya Patel practices at 266 Yorktown Center Visionworks, Lombard, IL 60148. The listed phone number is (630) 261-1867.

What is Priya Patel's specialty?

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

Is Priya Patel enrolled in Medicare?

Yes. Priya Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Priya Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Patel reassigns Medicare benefits to 2 organizations: Visionworks, Inc. (Niles, IL) and Luxottica Of America Inc. (Mason, OH). Each 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 Priya Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priya Patel accept?

Health plans from Ambetter Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 4 other insurers list Priya 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 Priya Patel was last updated on July 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.