Individual provider Active NPI

Viren R Patel, O.D.

  • Optometrist
  • Bronx, NY
National Provider Identifier
1073893855
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007782 Issued in NY
Practice address
665 Pelham Pkwy N
Bronx, NY 10467-8068
Phone
(718) 547-2020
NPI assigned
Aug 24, 2011
Last updated
Apr 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007782 NY Primary

Addresses

Primary practice location

665 Pelham Pkwy N
Bronx, NY 10467-8068

Mailing address

665 Pelham Pkwy N
Bronx, NY 10467-8068

Other identifiers 1

IdentifierTypeStateIssuer
03417223MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120531000558 NY Practitioner - Optometry 5496918450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smart Medical PLLCGroup PAC ID 0648400028, 12 clinicians

Practice addresses (Care Compare)

2613 E 16TH St
FL 2
Brooklyn, NY 11235-3805
Phone (718) 265-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007782NYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Vision Group Inc Optometrist CurrentSince Jun 14, 2024 Accepting new patients
Smart Medical PLLC CurrentSince Nov 1, 2023 Accepting new patients
Harlem Vistasite Eye Care Inc Optometrist Past Accepting new patients

Locations

665 Pelham Pkwy N
Apt 102
Bronx, NY 10467
Phone (347) 324-4207

665 Pelham Pkwy N
Apt 202
Bronx, NY 10467
Phone (718) 547-2020

2613 E 16th St
Fl 2
Brooklyn, NY 11235
Phone (718) 265-9900

Organizations & group practices 3

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": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1073893855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 PELHAM PKWY N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 PELHAM PKWY N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678068",
            "telephone_number": "718-547-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIREN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03417223",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.