Active NPI
Puja Patel, O.D.
- Optometrist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002862
- Practice address
- 3330 Piedmont Rd NE
Suite 1
Atlanta, GA 30305-1726 - Phone
- (404) 231-3772
- NPI assigned
- Jun 10, 2014
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 21299-875 | WI | |
| Optometrist | 152W00000X | 046-010801 | IL | |
| Optometrist | 152W00000X | TPOP59 | FL | |
| Optometrist | 152W00000X | 3752-35 | WI | |
| Optometrist | 152W00000X | OPT002862 | GA | Primary |
Addresses
Primary practice location
3330 Piedmont Rd NE
Suite 1
Atlanta, GA 30305-1726
Mailing address
2300 Whiteoak Dr SE
Smyrna, GA 30080-7422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TPOP59 | FL | MD | Optometrist |
| OPT002862 | GA | MD | Optometrist |
| 046-010801 | IL | MD | Optometrist |
| 21299-875 | WI | MD | Optometrist |
| 3752-35 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Family First Vision Care Georgia | Optometrist | Current | Accepting new patients |
| Mark Lynn O.D. & Associates, PC | Current | Accepting new patients | |
| Myeyedr. Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Mark Lynn OD & Associates, PC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia LLC | Optometrist | Current | Accepting new patients |
| Chance Talley Enterprises LLC. | Current | Accepting new patients | |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
Locations
2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213
1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601
4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010
2929 Turner Hill Rd
Ste 2625
Lithonia, GA 30038
Phone (770) 482-5050
1401 Johnson Ferry Rd
Ste 148B
Marietta, GA 30062
Phone (770) 509-8480
1850 N Columbia St
Ste 5
Milledgeville, GA 31061
Phone (478) 453-0011
198 S Houston Lake Rd
Ste B
Warner Robins, GA 31088
Phone (478) 971-1500
316 S Hamilton Rd
Gahanna, OH 43230
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 10
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.
-
- Clinic/Center
- Milledgeville, GA
- NPI 1265097240
-
- Optometrist
- Roswell, GA
- NPI 1649881236
-
- Optometrist
- Lithonia, GA
- NPI 1417055203
-
- Optometrist
- Rincon, GA
- NPI 1437294592
-
- Optometrist
- Tallahassee, FL
- NPI 1073907028
-
- Eyewear Supplier
- Savannah, GA
- NPI 1518375500
-
- Optometrist
- Warner Robins, GA
- NPI 1831504406
-
- Optometrist
- Tyrone, GA
- NPI 1275326571
-
- Optometrist
- Clearwater, FL
- NPI 1730054594
-
- Optometrist
- Orange Park, FL
- NPI 1174076616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1174936876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 WHITEOAK DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300807422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 PIEDMONT RD NE",
"address_2": "SUITE 1",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303051726",
"telephone_number": "404-231-3772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PUJA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-10",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "21299-875",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-010801",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "TPOP59",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3752-35",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.