Active NPI
Shivangi Patel, OD
- Optometrist
- Mt Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.2230
- Practice address
- 709 Long Point Rd Ste C
Mt Pleasant, SC 29464-8287 - Phone
- (843) 849-0800
- Fax
- (843) 849-0100
- NPI assigned
- Oct 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.2230 | SC | Primary |
Addresses
Primary practice location
709 Long Point Rd Ste C
Mt Pleasant, SC 29464-8287
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT.2230 | SC | MD | Optometrist |
| 2230 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of South Carolina, LLC | Optometrist | Current | Accepting new patients |
| Repko Family Vision Center, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of South Carolina, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry South Carolina, LLC | Optometrist | Current | Accepting new patients |
Locations
709 Long Point Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 259-2002
7643 Rivers Ave
Ste D
North Charleston, SC 29406
Phone (843) 797-0731
1268 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 327-2001
241 Gateway Plz
Ste 106
Gate City, VA 24251
Phone (276) 690-2345
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 4
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.
-
- Optometrist
- Rock Hill, SC
- NPI 1205248481
-
- Optometrist
- Gate City, VA
- NPI 1013296581
-
- Optometrist
- Indian Land, SC
- NPI 1093679961
-
- Optometrist
- Mt Pleasant, SC
- NPI 1114371598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1275130064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 LONG POINT RD STE C",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294648287",
"telephone_number": "843-849-0800",
"fax_number": "843-849-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHIVANGI",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-05",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "OPT.2230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.