Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Puja Patel

Individual provider Optometrist · NPI 1568041978

Puja Patel is an Optometry in Oak Lawn, Illinois. Qualified in 2021, 5 years ago. Practices with Harold E Davis and Terry Alan Trust Etal, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4663 W 95th St
Oak Lawn, IL 60453-2540
Phone: (708) 636-0600
Fax: (708) 636-0606
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10701 East Blvd, Cleveland, OH 44106-1702 — (216) 791-3800

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 46011605 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568041978
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 4, 2021
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing address2106 N Frolic Ave, Waukegan, IL 60087-3592

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Harold E Davis And Terry Alan Trust Etal — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oak Lawn