Patra Fazel, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

5946TG Issued in TX

Practice address

4100 W Airport Fwy Ste 100
Irving, TX 75062-5913

Phone

(972) 986-9778

Fax

(972) 986-5938

NPI assigned

Jan 19, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr a Joshi & Associates Optometrists PA

  • Optometrist
  • Irving, TX
  • NPI 1912197419
  NPD (past)
• Eye Care Management Group LLC

  • Optometrist
  • Irving, TX
  • NPI 1578891305
  NPD (past)

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232323200000",
    "number": "1295972867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 NORTHWEST PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254012",
            "telephone_number": "214-808-6653",
            "fax_number": "214-987-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W AIRPORT FWY STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625913",
            "telephone_number": "972-986-9778",
            "fax_number": "972-986-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZEL",
        "first_name": "PATRA",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5946TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam Fath, PHARM. D.
• Agboola O Fatiregun, M.D.
• Connor Thomas Faugno, CRNA, BSN, RN
• Savannah Faurot
• Bruce M Faust, M.D.
• Kee Fedak, D.C.
• Bobby Feeback, ATC
• Terrence M Feehery, DO
• Robert Scott Feferman, MD
• Luann Feld, PT

• Optometrist in Irving, TX
• Providers in Irving, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.