Individual provider Active NPI

Jush Patel, OD

  • Optometrist
  • Oregon, OH
National Provider Identifier
1235707597
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007192 Issued in OH
Practice address
3542 Navarre Ave
Oregon, OH 43616-3430
Phone
(419) 693-4444
NPI assigned
Jun 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5957 FL
Optometrist 152W00000X OPT.007192 OH Primary

Addresses

Primary practice location

3542 Navarre Ave
Oregon, OH 43616-3430

Mailing address

7745 S US Highway 1
Titusville, FL 32780-8131

Other practice location 1

3720 Curtis Blvd Ste 106-108
Port St John, FL 32927-3961
Phone (321) 639-0910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 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
I20220210002747 FL Practitioner - Optometry 1951794130 Reassigns benefits to 3 organizations
I20230906002603 OH Practitioner - Optometry 1951794130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern College of Osteo Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3542 Navarre Ave
Oregon, OH 43616-3430
Phone (419) 693-4444

Merit-based Incentive Payment System (MIPS)

Final score
78.87 of 100Reported as group
Quality
67.77
Improvement activities
40
Cost
88.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.007192OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Consultants Ohio, Inc Optometrist CurrentSince Jul 22, 2023 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Feb 19, 2022 Accepting new patients
Midwest Eye Consultants Ohio, Inc Optometrist CurrentSince Jul 22, 2023 Accepting new patients
Florida Eye Clinic P a Optometrist CurrentSince Feb 21, 2023 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Feb 19, 2022 Accepting new patients
Leann J Mandese OD PA Optometrist CurrentSince Jul 26, 2022 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Midwest Eye Consultants Ohio, Inc Optometrist Past Accepting new patients

Locations

160 Boston Ave
Altamonte Springs, FL 32701
Phone (407) 775-7654

2460 E Highway 50
Clermont, FL 34711
Phone (352) 708-7080

2194 Highway A1A
Ste 109
Indian Harbour Beach, FL 32937
Phone (321) 777-1640

2225 N Central Ave
Kissimmee, FL 34741
Phone (407) 933-2908

10131 W Colonial Dr
Ste 201
Ocoee, FL 34761
Phone (407) 206-2020

787 Health Care Dr
Orange City, FL 32763
Phone (386) 668-4332

2917 Edgewater Dr
Orlando, FL 32804
Phone (321) 423-2030

7975 Lake Underhill Rd
Ste 140
Orlando, FL 32822
Phone (407) 281-0866

345 W Michigan St
Ste 118
Orlando, FL 32806
Phone (407) 896-0324

1089 W Granada Blvd
Ste 4
Ormond Beach, FL 32174
Phone (850) 626-1300

3720 Curtis Blvd
Ste 106108
Port St John, FL 32927
Phone (321) 639-0910

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

2875 Maguire Rd
Windermere, FL 34786
Phone (407) 299-8300

5727 Canton Cv
Ste 111
Winter Springs, FL 32708
Phone (407) 695-2020

3509 Briarfield Blvd
Maumee, OH 43537
Phone (419) 865-3566

2740 Navarre Ave
Oregon, OH 43616
Phone (419) 697-3616

1814 W Laskey Rd
Toledo, OH 43613

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 8

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": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1235707597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7745 S US HIGHWAY 1",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327808131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3542 NAVARRE AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163430",
            "telephone_number": "419-693-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 Curtis Blvd Ste 106-108",
            "address_purpose": "LOCATION",
            "city": "Port St John",
            "state": "FL",
            "postal_code": "329273961",
            "country_code": "US",
            "telephone_number": "321-639-0910",
            "fax_number": "321-635-9227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JUSH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5957",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.