Organization Active NPI

Dr Luqman Patel OD Optometric Corporation

  • Optometrist
  • Palo Alto, CA
National Provider Identifier
1083386221
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR LUQMAN PATEL OD OPTOMETRIC CORPORATION
Practice address
855 El Camino Real Ste 83
Palo Alto, CA 94301-2326
Phone
(650) 329-0557
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Dr. Luqman Patel, ODNPI 1831663640
Title
Owner/Optometrist
Phone
(424) 236-0164

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

855 El Camino Real Ste 83
Palo Alto, CA 94301-2326

Mailing address

6013 Pathfinder TRL
Fort Worth, TX 76179-1009

National Provider Directory

National Provider Directory

Locations

4001 N Lakewood Blvd
Ste 110
Long Beach, CA 90808
Phone (562) 753-6743

855 El Camino Real
Ste 83
Palo Alto, CA 94301
Phone (650) 329-0557

6060 Azle Ave
Ste 700167
Lake Worth, TX 76135

Practitioners & affiliated clinicians

Practitioners 2

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": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1083386221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6013 PATHFINDER TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761791009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 EL CAMINO REAL STE 83",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012326",
            "telephone_number": "650-329-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LUQMAN PATEL OD OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "LUQMAN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "424-236-0164",
        "authorized_official_name_prefix": "Dr.",
        "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 Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.