Individual provider Active NPI

Sonal Harshad Patel, OD

  • Optometrist
  • Grapevine, TX
National Provider Identifier
1306870969
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
06096TG Issued in TX
Practice address
1602 Lancaster Dr
Suite 102
Grapevine, TX 76051-3579
Phone
(817) 885-7878
Fax
(817) 885-7444
NPI assigned
Jul 10, 2006
Last updated
Feb 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 06096TG TX Primary

Addresses

Primary practice location

1602 Lancaster Dr
Suite 102
Grapevine, TX 76051-3579

Mailing address

1602 Lancaster Dr
Suite 102
Grapevine, TX 76051-3574
Phone (817) 885-7878

Other identifiers 1

IdentifierTypeStateIssuer
82371QOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20061002000421 TX Practitioner - Optometry 2466457122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glaucoma Specialists of Texas SHP PAGroup PAC ID 8325006141, 2 clinicians

Practice addresses (Care Compare)

1602 Lancaster Dr
Suite 102
Grapevine, TX 76051-3574
Phone (817) 885-7878

Merit-based Incentive Payment System (MIPS)

Final score
97.35 of 100Reported as group
Quality
94.69
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6096TXMDChiropractor
06096TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Glaucoma Specialists of Texas SHP PA CurrentSince Jan 1, 2009 Accepting new patients
Charles a. Garcia, M.D.,P.a. Optometrist PastSince Dec 23, 2010 Accepting new patients
Garcia & Associates, East Houston P.a. Past Accepting new patients

Locations

1650 W Rosedale St
Ste 201
Ft Worth, TX 76104
Phone (817) 885-7442

1602 Lancaster Dr
Ste 102
Grapevine, TX 76051
Phone (817) 329-8364

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1306870969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 LANCASTER DR",
            "address_2": "SUITE 102",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513574",
            "telephone_number": "817-885-7878",
            "fax_number": "817-885-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 LANCASTER DR",
            "address_2": "SUITE 102",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513579",
            "telephone_number": "817-885-7878",
            "fax_number": "817-885-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SONAL",
        "middle_name": "HARSHAD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06096TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82371Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.