Individual provider Active NPI

Deeti R Patel, OD

  • Optometrist
  • Auburn, IN
National Provider Identifier
1164036786
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004416A Issued in IN
Practice address
1212 N Main St
Auburn, IN 46706-1232
Phone
(260) 925-1916
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011417 IL
Optometrist 152W00000X 18004416A IN Primary

Addresses

Primary practice location

1212 N Main St
Auburn, IN 46706-1232

Mailing address

1212 N Main St
Auburn, IN 46706-1232
Phone (260) 925-1916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230711001433 IN Practitioner - Optometry 1254741663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bell Eye Care LLCGroup PAC ID 9436635059, 4 clinicians
Douglas C Morrow OD PCGroup PAC ID 8022085091, 4 clinicians

Practice addresses (Care Compare)

1212 N Main St
Auburn, IN 46706-1232
Phone (260) 925-1916

1212 N Main St
Vision Source Innovative Eye Care
Auburn, IN 46706-1200
Phone (260) 925-1916

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011417ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bell Eye Care LLC Optometrist CurrentSince Jan 1, 2026 Accepting new patients
Douglas C Morrow OD PC Optometrist CurrentSince Aug 1, 2023 Accepting new patients

Locations

1212 N Main St
Auburn, IN 46706
Phone (260) 925-1916

110 N Randolph St
Garrett, IN 46738
Phone (219) 357-6261

100 N Randolph St
Garrett, IN 46738
Phone (260) 357-6261

820 N Detroit St
Lagrange, IN 46761
Phone (260) 463-8868

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": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1164036786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N MAIN ST",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467061232",
            "telephone_number": "260-925-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N MAIN ST",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467061232",
            "telephone_number": "260-925-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEETI",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011417",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004416A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, IN

Sources for this page

Verify at the official NPI Registry.