Individual provider Active NPI

Mishali Patel, OD

  • Optometrist
  • Indian Land, SC
National Provider Identifier
1033848502
Registry record updated Jun 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2735 Issued in NC
Practice address
6237 Carolina Commons Dr
Indian Land, SC 29707-6014
Phone
(803) 547-3937
NPI assigned
Jun 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2344 SC
Optometrist 152W00000X 2735 NC Primary

Addresses

Primary practice location

6237 Carolina Commons Dr
Indian Land, SC 29707-6014

Mailing address

6237 Carolina Commons Dr Ste 300
Indian Land, SC 29707-6015

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
I20230501002556 NC Practitioner - Optometry 8426433087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Eyecare OD PAGroup PAC ID 5092043877, 2 clinicians

Practice addresses (Care Compare)

14154 Steele Creek Rd
Suite 200
Charlotte, NC 28273-4376
Phone (980) 319-1870

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2344SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Excel Eyecare OD PA Optometrist CurrentSince Sep 13, 2024 Accepting new patients
Myeyedr Optometry of North Carolina PLLC Optometrist CurrentSince Aug 1, 2023 Accepting new patients

Locations

13749 Steele Creek Rd
#A
Charlotte, NC 28273

14154 Steele Creek Rd
Ste 200
Charlotte, NC 28273
Phone (980) 319-1870

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687046400000",
    "number": "1033848502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6237 CAROLINA COMMONS DR STE 300",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297076015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6237 CAROLINA COMMONS DR",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297076014",
            "telephone_number": "803-547-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MISHALI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2344",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Land, SC

Sources for this page

Verify at the official NPI Registry.