Individual provider Active NPI

Vishal Sanjay Patel, OD

  • Optometrist
  • Chula Vista, CA
National Provider Identifier
1265110092
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35546 Issued in CA
Practice address
681 3Rd Ave
Chula Vista, CA 91910-5703
Phone
(619) 420-2111
Fax
(619) 585-8130
NPI assigned
Jul 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35546 CA Primary

Addresses

Primary practice location

681 3Rd Ave
Chula Vista, CA 91910-5703

Mailing address

15084 Filly LN
Victorville, CA 92394-7530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230802003457 CA Practitioner - Optometry 6800257171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Desert Institute of Ophthalmology IncGroup PAC ID 9032530548, 3 clinicians
Eye Physicians Medical Surgical CenterGroup PAC ID 0042283681, 9 clinicians

Practice addresses (Care Compare)

13010 Hesperia Rd
Suite 101
Victorville, CA 92395-5837
Phone (760) 773-2036

681 3Rd Ave
Chula Vista, CA 91910-5703
Phone 6194202111321

681 3Rd Ave
Chula Vista, CA 91910-5797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35546CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians Medical Surgical Center CurrentSince Oct 1, 2025 Accepting new patients
High Desert Institute of Ophthalmology, Inc CurrentSince Jul 19, 2023 Accepting new patients
Desert Valley Hospital, LLC PastSince Jul 16, 2023 Accepting new patients

Locations

1890 W Main St
Ste 130
Barstow, CA 92311
Phone (442) 255-4012

681 Third Ave
Chula Vista, CA 91910
Phone (619) 420-2111

681 Third Ave
Ste A
Chula Vista, CA 91910

13010 Hesperia Rd
Ste 101
Victorville, CA 92395
Phone (442) 255-4012

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1265110092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15084 FILLY LN",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923947530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105703",
            "telephone_number": "619-420-2111",
            "fax_number": "619-585-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VISHAL",
        "middle_name": "SANJAY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.