Individual provider Active NPI

Prajay Patel, OD

  • Optometrist
  • Chesapeake, VA
National Provider Identifier
1235543687
Registry record updated Jul 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002934 Issued in PA
Practice address
1412 Greenbrier Pkwy Ste 108a
Chesapeake, VA 23320-2832
Phone
(757) 424-3135
NPI assigned
Jun 13, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002934 PA Primary

Addresses

Primary practice location

1412 Greenbrier Pkwy Ste 108a
Chesapeake, VA 23320-2832

Mailing address

1412 Greenbrier Pkwy Ste 108a
Chesapeake, VA 23320-2832
Phone (757) 424-0724

Other identifiers 1

IdentifierTypeStateIssuer
1235543687OtherPANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150427000751 PA Practitioner - Optometry 5496074379 Reassigns benefits to 1 organization
I20220113001123 VA Practitioner - Optometry 5496074379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1412 Greenbrier Pkwy
Suite 108a
Chesapeake, VA 23320-2832
Phone (757) 424-0724

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002934PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
P a R Eyecare PLLC Optometrist CurrentSince Jan 4, 2022 Accepting new patients
Sisson - Boyer Eyecare, LLC Optometrist CurrentSince Apr 20, 2021 Accepting new patients

Locations

300 Bretz Ct
Ste 200
Newport, PA 17074
Phone (717) 567-3103

1412 Greenbrier Pkwy
Ste 108A
Chesapeake, VA 23320
Phone (757) 424-0724

Interoperability endpoints

  • Direct secure messaging: ppatel@eoy.ecldirect.net

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": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784937600000",
    "number": "1235543687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 GREENBRIER PKWY STE 108A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202832",
            "telephone_number": "757-424-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 GREENBRIER PKWY STE 108A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202832",
            "telephone_number": "757-424-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRAJAY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235543687",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.