Individual provider Active NPI

Amita Patel, O.D

  • Optometrist
  • New York, NY
National Provider Identifier
1215115506
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007245-1 Issued in NY
Practice address
11 E 32ND St
Apt 7a
New York, NY 10016-5407
Phone
(954) 465-0030
NPI assigned
Feb 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007245-1 NY Primary

Addresses

Primary practice location

11 E 32ND St
Apt 7a
New York, NY 10016-5407

Mailing address

11 E 32ND St
Apt 7a
New York, NY 10016-5407
Phone (954) 465-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190501001544 FL Practitioner - Optometry 0446323265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8685 Fenton St
Suite 130
Orlando, FL 32836-6113
Phone (407) 470-0579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007245-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vanmor Vision PA Optometrist CurrentSince Mar 19, 2019 Accepting new patients
Patel Eye Care PLLC Optometrist CurrentSince Jun 21, 2023 Accepting new patients

Locations

8685 Fenton St
Ste 130
Orlando, FL 32836
Phone (407) 470-0579

4101 Hunters Park Ln
Ste 400
Orlando, FL 32837
Phone (407) 855-6132

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": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1215115506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E 32ND ST",
            "address_2": "APT 7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165407",
            "telephone_number": "954-465-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E 32ND ST",
            "address_2": "APT 7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165407",
            "telephone_number": "954-465-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMITA",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007245-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.