Ekta K Patel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011850 Issued in IL

Practice address

7151 Walton St
Rockford, IL 61108-2600

Phone

(815) 397-4704

NPI assigned

Jul 1, 2024

Last updated

Jul 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1255176137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 GOLDSBORO LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600142973",
            "telephone_number": "847-532-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 WALTON ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082600",
            "telephone_number": "815-397-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "EKTA",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charvi D. Patel, OD
• Chirag Patel, D.D.S.
• Deep M. Patel, PHARM.D., R.PH.
• Dhairya Patel
• Dhaval M Patel, MD
• Jigar Bharatkumar Patel, M.D.
• Kajel K Patel, DO
• Karima Patel, DMD
• Khushbu Patel
• Kruti Patel, PHARMD

• Optometrist in Rockford, IL
• Providers in Rockford, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.