Organization Active NPI

Rita N Patel OD PA

  • Optometrist
  • Irving, TX
National Provider Identifier
1285889857
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6669T Issued in TX
Legal business name
RITA N PATEL OD PA
Practice address
811 W Royal LN Ste 100
Irving, TX 75039-4302
Phone
(214) 393-3008
Fax
(214) 393-3009
NPI assigned
Nov 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Nick Parker
Title
Billing
Phone
(214) 393-3008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6669T TX Primary

Addresses

Primary practice location

811 W Royal LN Ste 100
Irving, TX 75039-4302

Mailing address

811 W Royal LN Ste 100
Irving, TX 75039-4302
Phone (214) 393-3008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090625000194 TX Part B Supplier - Clinic/Group Practice 8820049547 Receives reassigned benefits from 1 practitioner
Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Locations

6440 N MacArthur Blvd
Ste 140
Irving, TX 75039
Phone (214) 393-3008

811 W Royal Ln
Ste 100
Irving, TX 75039
Phone (214) 393-3008

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1285889857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W ROYAL LN STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394302",
            "telephone_number": "214-393-3008",
            "fax_number": "214-393-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W ROYAL LN STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394302",
            "telephone_number": "214-393-3008",
            "fax_number": "214-393-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITA N PATEL OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "214-393-3008"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6669T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.