Individual provider Active NPI

Kruti Patel, OD

  • Optometrist
  • Prosper, TX
National Provider Identifier
1174575542
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8598TG Issued in TX
Practice address
401 Gates Pkwy # P106
Prosper, TX 75078-3535
Phone
(469) 325-4728
Fax
(844) 440-1558
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8598TG TX Primary

Addresses

Primary practice location

401 Gates Pkwy # P106
Prosper, TX 75078-3535

Mailing address

401 Gates Pkwy # P106
Prosper, TX 75078-3535
Phone (469) 325-4728

Other practice location 1

2601 Preston Rd Ste 2124
Frisco, TX 75034
Phone (972) 335-9529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170125000232 TX Practitioner - Optometry 2062426869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James a Williams O.D.P.C.Group PAC ID 1355442500, 10 clinicians

Practice addresses (Care Compare)

2601 Preston Rd
Suite 2124
Frisco, TX 75034-9474
Phone (972) 335-9529

401 Gates Pkwy
P106
Prosper, TX 75078-3535
Phone (469) 296-1520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8598TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyexcel Vision Care LLC Optometrist CurrentSince Dec 24, 2023 Accepting new patients
James a. Williams O.D.P.C. CurrentSince Nov 18, 2016 Accepting new patients
James a Williams O.D.P.C. Current Accepting new patients

Locations

120 Town Pl
Fairview, TX 75069
Phone (972) 549-4255

2601 Preston Rd
Ste 2124
Frisco, TX 75034
Phone (972) 335-9332

811 N Central Expy
Ste 1145
Plano, TX 75075
Phone (972) 516-0026

401 Gates Pkwy
#P106
Prosper, TX 75078
Phone (469) 296-1520

Organizations & group practices 3

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1174575542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GATES PKWY # P106",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783535",
            "telephone_number": "469-325-4728",
            "fax_number": "844-440-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GATES PKWY # P106",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783535",
            "telephone_number": "469-325-4728",
            "fax_number": "844-440-1558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Preston Rd Ste 2124",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "75034",
            "country_code": "US",
            "telephone_number": "972-335-9529",
            "fax_number": "844-444-0715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRUTI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8598TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.