Individual provider Active NPI

Sundip R Patel, O.D.

  • Optometrist
  • New Braunfels, TX
National Provider Identifier
1255393757
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6692T Issued in TX
Practice address
1209 S Ih 35
New Braunfels, TX 78130-5936
Phone
(830) 626-3017
Fax
(830) 626-3019
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6692T TX Primary

Addresses

Primary practice location

1209 S Ih 35
New Braunfels, TX 78130-5936

Mailing address

1667 S Ih 35
Suite 101
New Braunfels, TX 78130-6851
Phone (830) 626-3017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060217000450 TX Practitioner - Optometry 8224043864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

3551 Justin Rd
Suite 150
Flower Mound, TX 75028-6213
Phone (972) 355-5152

810 Knights Cross Dr
Suite 101
San Antonio, TX 78258-2981
Phone (210) 495-9020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Lake Eye Care PLLC Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1387 Sattler Rd
Unit A
New Braunfels, TX 78132
Phone (830) 522-4069

810 Knights Cross Dr
Ste 101
San Antonio, TX 78258
Phone (210) 495-9020

7915 W Loop 1604 N
Ste 118
San Antonio, TX 78254
Phone (210) 257-0940

1205 N Loop 1604 W
San Antonio, TX 78258
Phone (210) 319-2900

120 Empresario Dr
Ste 111
San Antonio, TX 78245
Phone (210) 257-0940

9218 Potranco Rd
Ste 105
San Antonio, TX 78251
Phone (210) 858-4001

15677 San Pedro Ave
#B
San Antonio, TX 78232
Phone (210) 490-9205

Interoperability endpoints

  • Direct secure messaging: sundipp@eyestx.imwdirect.com

Organizations & group practices 3

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1255393757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 S IH 35",
            "address_2": "SUITE 101",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306851",
            "telephone_number": "830-626-3017",
            "fax_number": "830-626-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 S IH 35",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305936",
            "telephone_number": "830-626-3017",
            "fax_number": "830-626-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUNDIP",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6692T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.