Individual provider Active NPI

Rena Ishvarlal Patel, O.D.

  • Optometrist
  • Talladega, AL
National Provider Identifier
1245548270
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-C35-TA-872 Issued in AL
Practice address
300 East St N
Talladega, AL 35160-2085
Phone
(256) 362-5800
Fax
(256) 362-3062
NPI assigned
Sep 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-C35-TA-872 AL Primary

Addresses

Primary practice location

300 East St N
Talladega, AL 35160-2085

Mailing address

160 Polo Downs
Chelsea, AL 35043-7600
Phone (205) 482-1337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20111103000360 AL Practitioner - Optometry 4082887252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

165 Vaughan LN
Pell City, AL 35125-7808
Phone (205) 338-5318

3466 Ashlyn CT
Birmingham, AL 35235-4000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-C35-TA-872ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Professionals, Inc Optometrist CurrentSince Oct 26, 2011 Accepting new patients
Cheaha Eye Associates PC Optometrist Past Accepting new patients

Locations

165 Vaughan Ln
Pell City, AL 35125
Phone (205) 338-5312

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": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1245548270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 POLO DOWNS",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350437600",
            "telephone_number": "205-482-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EAST ST N",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602085",
            "telephone_number": "256-362-5800",
            "fax_number": "256-362-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RENA",
        "middle_name": "ISHVARLAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C35-TA-872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Talladega, AL

Sources for this page

Verify at the official NPI Registry.