Smit a. Patel O.D., and Irene Gendelman O.D., Apoc

Primary specialty

OptometristTaxonomy code 152W00000X

License

13305 T Issued in CA

Legal business name

SMIT A. PATEL O.D., AND IRENE GENDELMAN O.D., APOC

Practice address

9349 Mission Gorge Rd
#114
Santee, CA 92071-3886

Phone

(858) 405-9484

NPI assigned

Apr 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Irene Gendelman Patel, O,D,

Title

President

Phone

(858) 405-9584

Specialties & licenses 1

Addresses

Other names 1

• Santee Family Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Smit Ashok Patel, O.D.

  • Optometrist
  • El Cajon, CA
  • NPI 1134386105
  Medicare reassignment NPD
• Michelle Pham, OD

  • Optometrist
  • Coronado, CA
  • NPI 1629421995
  NPD (past)

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1316181563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9349 MISSION GORGE RD",
            "address_2": "#114",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9349 MISSION GORGE RD",
            "address_2": "#114",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713886",
            "telephone_number": "858-405-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMIT A. PATEL O.D., AND IRENE GENDELMAN O.D., APOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "GENDELMAN PATEL",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-405-9584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O,D,"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13305 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santee Family Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth V Sigler, LCSW
• Flora Cruz Sison, RN
• SJC Management & Consulting Corp
• Jamie Lynn Skinner
• Jillaine Smasal-Kwak
• Margaret Lisa Elizabeth Smith, OTR
• Somagen Healthcare Inc
• Cynthia Soriano
• Mark Vincent Sormillon, RN
• Melanie Lynne Spano, PA-C

• Optometrist in Santee, CA
• Providers in Santee, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.