Organization Active NPI

Bimal Patel LLC

  • Optometrist
  • Houston, TX
National Provider Identifier
1053783902
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BIMAL PATEL LLC
Practice address
515 Westheimer Rd
Ste a-2
Houston, TX 77006-2931
Phone
(832) 715-0974
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Bimal Patel, ODNPI 1811336548
Title
Owner
Phone
(832) 715-0974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

515 Westheimer Rd
Ste a-2
Houston, TX 77006-2931

Mailing address

1403 Elgin St
Houston, TX 77004-2832
Phone (832) 715-0974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160414000136 TX Part B Supplier - Clinic/Group Practice 4789982422 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

515 Westheimer Rd
Houston, TX 77006
Phone (713) 485-6033

515 Westheimer Rd
Ste A2
Houston, TX 77006
Phone (713) 485-6033

600 N Shepherd Dr
Ste 134
Houston, TX 77007
Phone (713) 485-6033

1901 Waugh Dr
Houston, TX 77006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1053783902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 ELGIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770042832",
            "telephone_number": "832-715-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WESTHEIMER RD",
            "address_2": "STE A-2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062931",
            "telephone_number": "832-715-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIMAL PATEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BIMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-715-0974",
        "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": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.