Krishna Patel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34374 Issued in CA

Practice address

421 S Ham LN Ste a
Lodi, CA 95242-3523

Phone

(209) 461-2168

NPI assigned

Aug 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

85.63 of 100Reported as group

Quality

94

Improvement activities

40

Cost

43.42

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1104474261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N WILSON WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952053143",
            "telephone_number": "209-507-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S HAM LN STE A",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423523",
            "telephone_number": "209-461-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRISHNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lidia Park
• Harpreet Singh Parmar, MD
• Jose Duarte Parra, M.D.
• Helen Pascua
• Kristi Lyn Passey, COTA
• Marci Deanna Patrick
• Alex Pattenaude
• Christina Patterson, M.A., ED.S, PPS
• Mark Paulekas, MD
• Chelsea Payne, PA-C

• Optometrist in Lodi, CA
• Providers in Lodi, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.