Shairoz A Fazal, OD - Optometrist in Wheaton, IL

Shairoz A Fazal, OD is a Optometrist based in Wheaton, Illinois. Shairoz A Fazal is licensed to practice in Illinois (license number 047932457) and her current practice location is 811 E.butterfield Road Ste 111, Wheaton, Illinois. She can be reached at her office (for appointments etc.) via phone at (630) 480-8591.

NPI number for Shairoz A Fazal is 1487867768 and her current mailing address is 811 Butterfield Rd Ste 111, Wheaton, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487867768.

Contact Information

Shairoz A Fazal, OD
811 E.butterfield Road Ste 111,
Wheaton, IL 60187
(630) 480-8591
(630) 480-8595



Healthcare Provider's Profile

Full NameShairoz A Fazal
GenderFemale
SpecialityOptometrist
Location811 E.butterfield Road Ste 111, Wheaton, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487867768
  • Provider Enumeration Date: 05/07/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Shairoz A Fazal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487867768NPI-NPPES
204953491OtherILTAX ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 047932457 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shairoz A Fazal is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shairoz A Fazal, OD
811 Butterfield Rd Ste 111,
Wheaton, IL 60187-8602

Ph: (630) 480-8591
Shairoz A Fazal, OD
811 E.butterfield Road Ste 111,
Wheaton, IL 60187

Ph: (630) 480-8591

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› Verified 5 days ago


Optometrist in Wheaton, IL

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