Active NPI
Sonya Patel, O.D.
- Optometrist
- Austell, GA
National Provider Identifier
1114379492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002947
- Practice address
- 1133 E West Connector
Austell, GA 30106-1779 - Phone
- (770) 863-9421
- Fax
- (770) 863-9427
- NPI assigned
- Jul 11, 2016
- Last updated
- Dec 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT002947 | GA | Primary |
Addresses
Primary practice location
1133 E West Connector
Austell, GA 30106-1779
Mailing address
5230 S Cobb Dr SE
Smyrna, GA 30080-7180
Phone (770) 863-9421
Other practice location 1
2795 Chastain Meadows Pkwy
Marietta, GA 30066-3361
Phone (770) 425-8212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160824002931 | GA | Practitioner - Optometry | 4981999315 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B3 Optical LLC | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Stockbridge, GA
- NPI 1679953293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1114379492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5230 S COBB DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300807180",
"telephone_number": "770-863-9421",
"fax_number": "770-863-9427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 E WEST CONNECTOR",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061779",
"telephone_number": "770-863-9421",
"fax_number": "770-863-9427"
}
],
"practiceLocations": [
{
"address_1": "2795 Chastain Meadows Pkwy",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300663361",
"country_code": "US",
"telephone_number": "770-425-8212",
"fax_number": "770-425-8592",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "SONYA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.