Individual provider Active NPI

Shivam Avinash Patel, OD

  • Optometrist
  • Spring Hill, TN
National Provider Identifier
1275372419
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3898 Issued in TN
Practice address
5238 Main St
Spring Hill, TN 37174-2459
Phone
(931) 489-1950
NPI assigned
May 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3898 TN Primary

Addresses

Primary practice location

5238 Main St
Spring Hill, TN 37174-2459

Mailing address

5238 Main St
Spring Hill, TN 37174-2459
Phone (931) 489-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240807001130 TN Practitioner - Optometry 3779020847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spring Hill Eyecare, PLLCGroup PAC ID 4385665512, 4 clinicians

Practice addresses (Care Compare)

5238 Main St
Spring Hill, TN 37174-2459
Phone (931) 489-1950

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3898TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Hill Eyecare, PLLC CurrentSince Jul 16, 2024 Accepting new patients
NP Health of TN PLLC PastSince Jul 7, 2024 Accepting new patients
National Vision, Inc. PastSince May 1, 2024 Accepting new patients

Locations

5238 Main St
Spring Hill, TN 37174
Phone (931) 489-1950

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1275372419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5238 MAIN ST",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742459",
            "telephone_number": "931-489-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5238 MAIN ST",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742459",
            "telephone_number": "931-489-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIVAM",
        "middle_name": "AVINASH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-07-03",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, TN

Sources for this page

Verify at the official NPI Registry.