Individual provider Active NPI

Nilpa Patel, O.D

  • Optometrist
  • Kannapolis, NC
National Provider Identifier
1104955335
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1919 Issued in NC
Practice address
2420 Supercenter Dr NE
Kannapolis, NC 28083-6426
Phone
(704) 786-9200
NPI assigned
Mar 5, 2007
Last updated
Jan 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1919 NC Primary

Addresses

Primary practice location

2420 Supercenter Dr NE
Kannapolis, NC 28083-6426

Mailing address

2420 Supercenter Dr NE
Kannapolis, NC 28083-6426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20120307000647 NC Practitioner - Optometry 8527227727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan Leblanc OD PLLCGroup PAC ID 4981014164, 19 clinicians

Practice addresses (Care Compare)

2406 W Roosevelt Blvd
Monroe, NC 28110-8430
Phone (704) 226-1855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1919NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Melanie S. Kiser PC Optometrist CurrentSince Sep 9, 2017 Accepting new patients
Ryan Leblanc OD PLLC Optometrist CurrentSince Sep 1, 2020 Accepting new patients

Locations

7735 N Tryon St
Charlotte, NC 28262
Phone (704) 547-0305

1960 US Highway 70 SE
Ste 198
Hickory, NC 28602
Phone (828) 324-0021

1960 US Highway 70 SE
Ste 199
Hickory, NC 28602
Phone (828) 323-8833

2420 Supercenter Dr NE
Kannapolis, NC 28083
Phone (704) 786-9200

2406 W Roosevelt Blvd
Monroe, NC 28110
Phone (704) 226-0884

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, 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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1104955335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 SUPERCENTER DR NE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 SUPERCENTER DR NE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836426",
            "telephone_number": "704-786-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NILPA",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

Verify at the official NPI Registry.