Active NPI
Deeti R Patel, OD
- Optometrist
- Auburn, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18004416A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCDouglas C Morrow OD PC
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.011417 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bell Eye Care LLC | Optometrist | Current | Accepting new patients |
| Douglas C Morrow OD PC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.
- 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.