Individual provider Active NPI

Minal Patel, OD

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1093020141
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002360 Issued in PA
Practice address
4600 Roosevelt Blvd
Philadelphia, PA 19124-2340
Phone
(215) 288-0700
NPI assigned
Aug 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002360 PA Primary

Addresses

Primary practice location

4600 Roosevelt Blvd
Philadelphia, PA 19124-2340

Mailing address

4600 Roosevelt Blvd
Philadelphia, PA 19124-2340
Phone (215) 288-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101130001301 PA Practitioner - Optometry 2264628478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1151 Old York Rd
Abington, PA 19001-3816
Phone (215) 935-6320

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002360PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Vision Eye Care, LLC Optometrist CurrentSince Sep 6, 2011 Accepting new patients
Wink Eye Care and Optical, LLC Optometrist CurrentSince Jan 1, 2020 Accepting new patients

Locations

1151 Old York Rd
Abington, PA 19001
Phone (215) 935-6320

4600 E Roosevelt Blvd
Philadelphia, PA 19124
Phone (215) 288-0700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1093020141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242340",
            "telephone_number": "215-288-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242340",
            "telephone_number": "215-288-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MINAL",
        "name_prefix": "Miss",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.