Individual provider Active NPI

Prital Mehta Patel, OD

  • Optometrist
  • Kernersville, NC
National Provider Identifier
1033732649
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2732 Issued in NC
Practice address
1575 NC Highway 66 S
Kernersville, NC 27284-3516
Phone
(336) 993-8514
Fax
(336) 993-6950
NPI assigned
May 19, 2020
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2732 NC Primary
Optometrist 152W00000X OPT.006879 OH

Addresses

Primary practice location

1575 NC Highway 66 S
Kernersville, NC 27284-3516

Mailing address

15933 Clayton Rd Ste 210
Ballwin, MO 63011-2172
Phone (636) 200-4393

Other practice location 1

2630 Peters Creek Pkwy
Winston Salem, NC 27127-5655
Phone (336) 785-3486

Other practice location 2

5121 Reidsville Rd
Walkertown, NC 27051-9770
Phone (336) 595-4588

Other practice location 3

800 S Stratford Rd
Winston Salem, NC 27103-3202
Phone (336) 765-5788

Other practice location 4

500 W 4th St Ste 102
Winston Salem, NC 27101-2782
Phone (336) 837-3937

Other practice location 5

8293 Old Troy Pike
Huber Heights, OH 45424-1025
Phone (800) 571-5202

Other practice location 6

200 W Academy St
Randleman, NC 27317-1504
Phone (336) 495-3937

Other practice location 7

3443 Burke Mill Rd
Suite C1B
Winston Salem, NC 27101
Phone (336) 331-0231

Other practice location 8

1300 Eastchester Dr
High Point, NC 27265-2349
Phone (336) 884-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230419000989 NC Practitioner - Optometry 3870968142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, shared by 4 NPIs, 71 clinicians

Practice addresses (Care Compare)

1300 Eastchester Dr
High Point, NC 27265-2349
Phone (336) 884-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2732NCMDMental Health Counselor
OPT.006879OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Jun 1, 2023 Accepting new patients
C.V. Sikes,Jr. & R.B. Gotschalk PTR Optometrist Past Accepting new patients
Eyecarecenter OD PA Optometrist Past Accepting new patients

Locations

1300 Eastchester Dr
High Point, NC 27265
Phone (336) 884-3937

1575 NC Highway 66 S
Kernersville, NC 27284
Phone (336) 933-8514

200 W Academy St
Randleman, NC 27317
Phone (336) 337-1298

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

5121 Reidsville Rd
Walkertown, NC 27051
Phone (336) 595-4588

3001 Raleigh Rd W
Wilson, NC 27896
Phone (252) 291-0767

2630 Peters Creek Pkwy
Winston Salem, NC 27127
Phone (336) 785-3486

3443 Burke Mill Rd
Winston Salem, NC 27103
Phone (336) 331-0231

3443 Burke Mill Rd
Ste C1B
Winston Salem, NC 27103
Phone (336) 331-0231

500 W 4th St
Winston Salem, NC 27101
Phone (336) 723-1140

500 W 4th St
Ste 102
Winston Salem, NC 27101
Phone (336) 837-3937

800 S Stratford Rd
Winston Salem, NC 27103
Phone (336) 765-5788

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1033732649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD STE 210",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 NC HIGHWAY 66 S",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843516",
            "telephone_number": "336-993-8514",
            "fax_number": "336-993-6950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2630 Peters Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271275655",
            "country_code": "US",
            "telephone_number": "336-785-3486",
            "fax_number": "336-785-3002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5121 Reidsville Rd",
            "address_purpose": "LOCATION",
            "city": "Walkertown",
            "state": "NC",
            "postal_code": "270519770",
            "country_code": "US",
            "telephone_number": "336-595-4588",
            "fax_number": "336-595-6277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S Stratford Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033202",
            "country_code": "US",
            "telephone_number": "336-765-5788",
            "fax_number": "336-765-5584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W 4th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271012782",
            "country_code": "US",
            "telephone_number": "336-837-3937",
            "fax_number": "336-837-0781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8293 Old Troy Pike",
            "address_purpose": "LOCATION",
            "city": "Huber Heights",
            "state": "OH",
            "postal_code": "454241025",
            "country_code": "US",
            "telephone_number": "800-571-5202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Academy St",
            "address_purpose": "LOCATION",
            "city": "Randleman",
            "state": "NC",
            "postal_code": "273171504",
            "country_code": "US",
            "telephone_number": "336-495-3937",
            "fax_number": "336-495-3938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3443 Burke Mill Rd",
            "address_2": "Suite C1B",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "27101",
            "country_code": "US",
            "telephone_number": "336-331-0231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Eastchester Dr",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272652349",
            "country_code": "US",
            "telephone_number": "336-884-3937",
            "fax_number": "336-884-5249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRITAL",
        "middle_name": "MEHTA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2732",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.