Individual provider Active NPI

Deval Achit Patel, O.D.

  • Pediatric Optometrist
  • West Covina, CA
National Provider Identifier
1265673156
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
CA125256 Issued in CA
Practice address
2233 E Garvey Ave N Ste a
West Covina, CA 91791-1500
Phone
(626) 600-9486
Fax
(951) 813-4044
NPI assigned
Mar 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X CA125256 CA Primary

Addresses

Primary practice location

2233 E Garvey Ave N Ste a
West Covina, CA 91791-1500

Mailing address

2225 E Garvey Ave N
West Covina, CA 91791-1500
Phone (626) 600-9486

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
I20220614000392 CA Practitioner - Optometry 8426040775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2233 E Garvey Ave N
Suite a
West Covina, CA 91791-1500
Phone (626) 600-9486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA125256CAMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Deval Patel Optometric Corporation Optometrist CurrentSince Mar 22, 2022 Accepting new patients
Vital Sight, PC Past Accepting new patients
Visual Expression Optical, Inc. Past Accepting new patients

Locations

1300 Grant Ave
Ste 102
Novato, CA 94945
Phone (415) 898-2320

2233 E Garvey Ave N
Ste A
West Covina, CA 91791
Phone (626) 600-9486

2225 E Garvey Ave N
West Covina, CA 91791
Phone (626) 966-3033

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": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1265673156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 E GARVEY AVE N",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911500",
            "telephone_number": "626-600-9486",
            "fax_number": "951-813-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 E GARVEY AVE N STE A",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911500",
            "telephone_number": "626-600-9486",
            "fax_number": "951-813-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEVAL",
        "middle_name": "ACHIT",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "CA125256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.