Individual provider Active NPI

Paresh K Patel, O.D.

  • Optometrist
  • Gilroy, CA
National Provider Identifier
1285773804
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9807 Issued in CA
Practice address
8050 Santa Teresa Blvd
Suite 110
Gilroy, CA 95020-3862
Phone
(408) 842-2020
Fax
(408) 842-0312
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9807 CA Primary

Addresses

Primary practice location

8050 Santa Teresa Blvd
Suite 110
Gilroy, CA 95020-3862

Mailing address

8050 Santa Teresa Blvd
Suite 110
Gilroy, CA 95020-3862
Phone (408) 842-2020

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
I20201207001385 CA Practitioner - Optometry 3274648704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Visual Edge Optomertic GroupGroup PAC ID 7012029846, 3 clinicians

Practice addresses (Care Compare)

8050 Santa Teresa Blvd
Suite 110
Gilroy, CA 95020-3862
Phone (408) 842-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9807CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Visual Edge Optomertic Group Optometrist CurrentSince Feb 21, 2005 Accepting new patients

Locations

8050 Santa Teresa Blvd
Ste 110
Gilroy, CA 95020
Phone (408) 842-2020

Organizations & group practices 1

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285773804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 SANTA TERESA BLVD",
            "address_2": "SUITE 110",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203862",
            "telephone_number": "408-842-2020",
            "fax_number": "408-842-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 SANTA TERESA BLVD",
            "address_2": "SUITE 110",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203862",
            "telephone_number": "408-842-2020",
            "fax_number": "408-842-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PARESH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

Verify at the official NPI Registry.