Shah Vision Consultants Inc
NPI 1003119694ActiveOrganization· Optometrist· Rockford, IL
Optometrist in Rockford, Illinois, registered in NPPES in December 2010. The authorized official on file is Prayag Shah, O.D., Owner/Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1003119694 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2010 |
| Last updated in NPPES | Jul 14, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 046009516 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (WI) |
|---|
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