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Birva K Shah, OD
Pediatric Optometrist in Chicago Ridge, Illinois
NPI 1134481211

Birva K Shah is a Pediatric Optometrist based in Carol Stream, IL and is specialized in Pediatrics. Birva K Shah practices in Chicago Ridge, IL and has the professional credentials of OD. The NPI Number for Birva K Shah is 1134481211 and holds a License No. 046010543 (Illinois).

The current practice location address for Birva K Shah is 10436 Southwest Hwy, Chicago Ridge, IL and can be reached out via phone at 708-423-4192 and via fax at 708-952-0329.

Location: 10436 Southwest Hwy, Chicago Ridge, IL, 60122-4684
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134481211
Provider Name
Birva K Shah
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
10436 Southwest Hwy, Chicago Ridge, IL, 60122-4684
Phone Number
708-423-4192
Fax Number
708-952-0329
Provider Enumeration Date
06/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01621679 01 IL BLUE CROSS & BLUE SHEILD ESC # 01621679
200871680 01 IN INDIANA GROUP MEDICAID LEGACY PTAN # 200871680
046010543 05 IL
1083684922 01 IN THE EYE SPECIALISTS CENTER, LLC GROUP NPI 1083684922
1700191012 01 IL UNIVERSITY OF CHICAGO MEDICAL CENTER NPI
CK7818 01 IL RAILROAD MEDICARE ESC GROUP# CK7818
1083684922 01 IL THE EYE SPECIALISTS CENTER, LLC GROUP NPI 1083684922
12385422 01 IL CAQH
1699802421 01 IL OPTICAL THE EYE SPECIALISTS CENTER, LLC GROUP NPI 1699802421
502720062 01 IL MEDICARE PTAN
14D2054175 01 IL CLIA # 14D2054175 EXP 2-14-2015 CHICAGO RIDGE LOCATION
253350 01 IN INDIANA MEDICARE GROUP PTAN 253350
253350 01 IL ILLINOIS MEDICARE GROUP PTAN 253350
6180260001 01 IL DEMERC SUPPLIER PTAN 6180260001 THE EYE SPECIALISTS CENTER, LLC
institution
Provider Business Practice Location Address Details
Address
10436 Southwest Hwy
City
Chicago Ridge
State
Illinois
Zip
60415-2282
Phone Number
708-423-4192
Fax Number
708-952-0329
person
Provider Business Mailing Address Details
Address
10436 Southwest Hwy
City
Chicago Ridge
State
Illinois
Zip
60415-2282
Phone Number
708-423-4192
Fax Number
708-952-0329
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
-
Taxonomy
152W00000X
License No.
046010543 (Illinois)
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.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
Pediatrics
Taxonomy
152WP0200X
License No.
046010543 (Illinois)
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
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