PUJA PATEL – Optometrist, NPI 1568041978

PUJA PATEL is a healthcare provider. based in Waukegan, Illinois. specializing in OPTOMETRY. They hold a License No. 46011605 (IL). The NPI Number for PUJA PATEL is 1568041978

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
PUJA PATEL
NPI
1568041978
Phone
(847) 338-7028
Address
2106 N FROLIC AVE
Enumeration Date
4 April 2021
Last Update Date
20 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7086360600
Graduation Year
2021 (5 years ago)
PAC ID
6507242245
Group Practice PAC ID
1456422070
Professional Enrollment ID
I20221003002143
Address ID
IL604532540OA4663XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for PUJA PATEL

  • 2106 N FROLIC AVE

    WAUKEGAN, IL 600873592

    Phone: (847) 338-7028

    Type: Mailing

  • 4663 W 95TH ST

    OAK LAWN, IL 604532540

    Phone: (708) 636-0600

    Fax: (708) 636-0606

    Type: Location

  • 10701 East Blvd

    Cleveland, OH 441061702

    Phone: (216) 791-3800

    Type: Location

  • 10701 EAST BLVD

    CLEVELAND, OH 441061702

    Phone: (216) 791-3800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $242.

Total Amount is formed as General ($242) + Research ($0) + Ownership ($0) = $242.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Alcon Vision LLC ($142).

Total Amount

$242

General + Research + Ownership

Payments

6

Total payment records

General Amount

$242

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221003002143IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes5543$0
View full utilization report →

Insurance plans in this area (ZIP 60087)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456422070View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for PUJA PATEL?
Save NPI 1568041978 if you need a stable reference for PUJA PATEL.
Is PUJA PATEL currently active in the NPI registry?
CMS-published data lists PUJA PATEL as an active registrant.
What field does PUJA PATEL work in?
You can think of PUJA PATEL as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where is PUJA PATEL's primary listing?
We display Waukegan, Illinois because that is what the record indicates for PUJA PATEL.
Is PUJA PATEL a real provider?
This page reflects official NPPES data for NPI 1568041978. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

3001A SIXTH STREET
NPI: 1922087261
1020 11TH AVE
NPI: 1720067978
310 S GREENLEAF ST STE 212
NPI: 1518916741
Walmart Supercenter, 3900, Fountain Square Place, Wilson, Waukegan, Lake County, Illinois, 60085, United States
NPI: 1215986989
7430 ASTOR AVE
NPI: 1811031966

MUNA ZAROUR (OD)

Optometrist
3010 GRAND AVE
NPI: 1477698082
914 N GREEN BAY RD
NPI: 1316064769
North Avenue, Melrose, Middlesex County, Massachusetts, 01180, United States
NPI: 1346408176
4700 SETON CENTER PKWY STE 150
NPI: 1114170339