Eyexcel Vision Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYEXCEL VISION CARE LLC

Practice address

401 Gates Parkway.
P106
Prosper, TX 75078

Phone

(732) 616-8021

NPI assigned

Sep 22, 2023

Organization subpart

No

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

Authorized official

Name

Kruti Patel, ODNPI 1174575542

Title

Optometrist/Manager

Phone

(732) 616-8021

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kruti Patel, OD

  • Optometrist
  • Prosper, TX
  • NPI 1174575542
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1033998729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GATES PKWY # P106",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783535",
            "telephone_number": "469-325-4728",
            "fax_number": "844-440-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GATES PARKWAY.",
            "address_2": "P106",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "75078",
            "telephone_number": "732-616-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEXCEL VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KRUTI",
        "authorized_official_title_or_position": "OPTOMETRIST/MANAGER",
        "authorized_official_telephone_number": "732-616-8021",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evo Endodontics, PLLC
• Exclusively Geriatrics
• Eye Room PLLC (Prosper Eye Room)
• Eyes on Prosper, PLLC (Prosper Eye Room)
• Eyevisible Optometry
• Neya Fadel
• Faith&Favor International LLC
• Family Vision Partners, PLLC. (Prosper Eye Room)
• Si Fang, PHARM.D., MBA
• Hazel Fansler

• Optometrist in Prosper, TX
• Providers in Prosper, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.