Individual provider Active NPI

Ajay S Patel, OD

  • Optometrist
  • Plano, TX
National Provider Identifier
1003248907
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8312TG Issued in TX
Practice address
9955 Gillespie Dr
Suite 100
Plano, TX 75025
Phone
(972) 403-1110
Fax
(972) 403-1153
NPI assigned
Aug 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8312-T TX
Optometrist 152W00000X 8312TG TX Primary

Addresses

Primary practice location

9955 Gillespie Dr
Suite 100
Plano, TX 75025

Mailing address

9955 Gillespie Dr
Suite 100
Plano, TX 75025
Phone (972) 403-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140210000070 TX Practitioner - Optometry 4981833217 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brooks Eye Associates PLLCGroup PAC ID 9234384108, 8 clinicians

Practice addresses (Care Compare)

9955 Gillespie Dr
Suite 100
Plano, TX 75025-7533
Phone (972) 403-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8312-TTXMDOptometrist
8312TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Andy M Lee MD PA CurrentSince Oct 21, 2019 Accepting new patients
Brooks Eye Associates, PLLC CurrentSince Oct 11, 2021 Accepting new patients
Good Rams Partners LP PastSince Oct 21, 2019 Accepting new patients

Locations

388 E Highway 67
Duncanville, TX 75137
Phone (972) 296-2020

4500 N MacArthur Blvd
Ste 120
Irving, TX 75038
Phone (972) 403-1110

9955 Gillespie Dr
Ste 100
Plano, TX 75025
Phone (972) 403-1110

Interoperability endpoints

  • Direct secure messaging: ajay.patel.p1@direct.totaleyecaretexas.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1003248907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9955 GILLESPIE DR",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75025",
            "telephone_number": "972-403-1110",
            "fax_number": "972-403-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9955 GILLESPIE DR",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75025",
            "telephone_number": "972-403-1110",
            "fax_number": "972-403-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AJAY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-01",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8312-T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8312TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.