Advanced Eyecare South Holland Od and Associates PC
NPI 1942749791ActiveOrganization· Optometrist· South Holland, IL
Optometrist in South Holland, Illinois, registered in NPPES in February 2017. The authorized official on file is Grishma P. Patel, O.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1942749791 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 13, 2017 |
| Last updated in NPPES | Sep 2, 2025 |
| Certified by provider | Feb 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 046009678 | 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) |
|---|
Other Optometrist providers in South Holland
- 1629206933
- 1497937403
- 1194960492
- 1669464251
- 1831935055
- 1225045669