=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801801758
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SABAH AKBAR OD LTD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/29/2006
-----------------------------------------------------
Last Update Date | 01/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3340 MALL LOOP DR JCPENNEY OPTICAL
-----------------------------------------------------
City | JOLIET
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60431-1057
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 815-439-1400
-----------------------------------------------------
Fax | 815-439-1435
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 522 64TH ST
-----------------------------------------------------
City | WILLOWBROOK
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60527-1813
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-667-6926
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. SABAH AKBAR
-----------------------------------------------------
Credential | O.D.
-----------------------------------------------------
Telephone | 630-667-6926
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 046-009559
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------