Individual provider Active NPI

Ridhi Patel, O.D

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1053780080
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003485 Issued in GA
Practice address
800 Peachtree St NE Ste E1
Atlanta, GA 30308-1252
Phone
(678) 732-3432
Fax
(678) 732-3434
NPI assigned
Sep 21, 2015
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010914 IL
Optometrist 152W00000X OPT003485 GA Primary

Addresses

Primary practice location

800 Peachtree St NE Ste E1
Atlanta, GA 30308-1252

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other identifiers 3

IdentifierTypeStateIssuer
7235044OtherILAETNA
8825444OtherILMULTIPLAN
0163706OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240501002533 GA Practitioner - Optometry 6103134580 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Apr 17, 2024 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Apr 17, 2024 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Industrial Optical Service Inc. Optometrist Past Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service Inc Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service Inc Optometrist Past Accepting new patients
Industrial Optical Service, Inc Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients

Locations

6121 Cedarcrest Rd NW
#108
Acworth, GA 30101
Phone (770) 529-7789

3975 Old Milton Pkwy
Ste 2
Alpharetta, GA 30005
Phone (678) 624-7766

3155 Cobb Pkwy SE
Ste 110
Atlanta, GA 30339
Phone (770) 644-0012

800 Peachtree St NE
Ste E1
Atlanta, GA 30308
Phone (678) 732-3432

860 Peachtree St NE
Ste F
Atlanta, GA 30308
Phone (404) 853-5008

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

1409 Sixes Rd
Canton, GA 30114
Phone (770) 852-2733

217 Riverstone Dr
Canton, GA 30114
Phone (770) 345-5220

123 W Main St
#A
Cartersville, GA 30120
Phone (470) 888-2044

335 W Ponce de Leon Ave
Ste F
Decatur, GA 30030
Phone (404) 377-3937

1415 Wooten Lake Rd NW
Ste 100
Kennesaw, GA 30144
Phone (770) 424-2020

1570 Old Alabama Rd
Ste 106
Roswell, GA 30076
Phone (770) 557-0039

250 E Crossville Rd
Roswell, GA 30075
Phone (770) 720-4449

12924 Highway 92
Ste 100
Woodstock, GA 30188
Phone (678) 717-9121

9801 Highway 92
Ste 100
Woodstock, GA 30188
Phone (770) 592-7100

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1053780080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PEACHTREE ST NE STE E1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081252",
            "telephone_number": "678-732-3432",
            "fax_number": "678-732-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RIDHI",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010914",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7235044",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "8825444",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0163706",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.