Active NPI
Amee Patel, O.D.
- Optometrist
- Goldsboro, NC
National Provider Identifier
1235236688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2136
- Practice address
- 1002 N Spence Ave
Goldsboro, NC 27534-4270 - Phone
- (919) 751-5864
- Fax
- (919) 759-2909
- NPI assigned
- Sep 20, 2006
- Last updated
- Sep 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001559 | PA | |
| Optometrist | 152W00000X | 27OA00592700 | NJ | |
| Optometrist | 152W00000X | 2136 | NC | Primary |
Addresses
Primary practice location
1002 N Spence Ave
Goldsboro, NC 27534-4270
Mailing address
714 Spruce Meadows LN
Willow Spring, NC 27592-8312
Phone (919) 762-0777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2136 | NC | MD | Marriage & Family Therapist |
| 27OA00592700 | NJ | MD | Optometrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Goldsboro, NC
- NPI 1205205218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411344000000",
"number": "1235236688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 SPRUCE MEADOWS LN",
"city": "WILLOW SPRING",
"state": "NC",
"postal_code": "275928312",
"telephone_number": "919-762-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 N SPENCE AVE",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275344270",
"telephone_number": "919-751-5864",
"fax_number": "919-759-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "AMEE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2014-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001559",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00592700",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "2136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.