Akshay Sanjay Patil, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0003697 Issued in CO

Practice address

1000 Greg Kruschek Avenue
Nome, AK 99762

Phone

(907) 443-3311

NPI assigned

Jul 8, 2021

Last updated

Jul 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Optometry

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

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.

• Eagle Eyecare LLC

  • Optometrist
  • Grand Junction, CO
  • NPI 1003599788
  Medicare reassignment NPD Authorized official
• Sowash Optometry Group PC

  dba VisionWorks

  • Optometrist
  • Lakewood, CO
  • NPI 1336172055
  Medicare reassignment NPD
• Sowash Optometry Group, PC

  dba Visionworks

  • Eyewear Supplier
  • Denver, CO
  • NPI 1891404174

  Optometrist

  NPD

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1043881303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 DONATELLO DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928826392",
            "telephone_number": "951-893-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GREG KRUSCHEK AVENUE",
            "city": "NOME",
            "state": "AK",
            "postal_code": "99762",
            "telephone_number": "907-443-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIL",
        "first_name": "AKSHAY",
        "middle_name": "SANJAY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Ozenna
• Roxanne Yalaali Ozenna
• Diane Paniptchuk
• Kristy Paniptchuk
• Sunina Patel
• Elsie Pelowook
• Samantha Penayah
• Darcee A Perkins, BSN, RN, CLC
• Jillian Elizabeth Perry, D.D.S
• Margaret Pete

• Optometrist in Nome, AK
• Providers in Nome, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.