Tejal Patel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003275 Issued in PA

Practice address

20 Mystic LN FL 1
Malvern, PA 19355-1942

Phone

(610) 477-2830

Fax

(610) 477-2838

NPI assigned

Nov 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, DE, PA, MD, DC5 enrollments

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 5

Specialty

Optometry

Education

New England College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Simon Eye Associates PAGroup PAC ID 4082684089, 35 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 49)

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.

• Best Eye Vision, LLC

  • Optometrist
  • Malvern, PA
  • NPI 1629665450
  Medicare reassignment NPD Authorized official
• Simon Eye Associates PA

  • Optometrist
  • Wilmington, DE
  • NPI 1205871506
  Medicare reassignment Care Compare group NPD
• Aeg Pennsylvania Professional Inc

  • Optometrist
  • Pittsburgh, PA
  • NPI 1851958854
  Medicare reassignment NPD
• Bernstein, Hilliker, Hartzell Eye Center, LLP

  • Ophthalmology Physician
  • Lewisburg, PA
  • NPI 1942390745

  Optometrist

  Medicare reassignment NPD
• Myeyedr Optometry of Pennsylvania, LLC

  • Optometrist
  • Carlisle, PA
  • NPI 1003264607
  Medicare reassignment NPD
• Aeg Ohio Professional PC

  • Optometrist
  • Solon, OH
  • NPI 1154980811

  PA

  Medicare reassignment NPD
• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  Medicare reassignment NPD
• Centro San Vicente

  • Federally Qualified Health Center (FQHC)
  • El Paso, TX
  • NPI 1831267079

  Single Specialty

  Medicare reassignment NPD
• Med Southwest, PLLC

  • Optometrist
  • Houston, TX
  • NPI 1609348739
  Medicare reassignment NPD
• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Waldorf, MD
  • NPI 1609204437
  Medicare reassignment NPD
• SDR Practices, LLC

  • Optometrist
  • Ballinger, TX
  • NPI 1750585402
  Medicare reassignment NPD
• Tyler Family Circle of Care

  • Federally Qualified Health Center (FQHC)
  • Tyler, TX
  • NPI 1144575820

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1316191018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MYSTIC LN FL 1",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551942",
            "telephone_number": "610-477-2830",
            "fax_number": "610-477-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MYSTIC LN FL 1",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551942",
            "telephone_number": "610-477-2830",
            "fax_number": "610-477-2838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Limestone Rd",
            "address_2": "Suite 128",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198081250",
            "country_code": "US",
            "telephone_number": "302-239-1933",
            "fax_number": "302-489-0130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TEJAL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007370",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001395",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7795-TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "21329-875",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03064124",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Pasini, LCSW, CAADC
• Kera Passante, MS, NCC
• Shital R Patel, MD
• Sunitaben Patel, RPH
• Tanvi Patel, PA
• Toral Dixitkumar Patel, PHARMACIST
• Amy Patterson
• Ellen Ann Gross Patton
• Janine Elvira Payson, PA
• Peaceful Mind Psychiatric Services LLC

• Optometrist in Malvern, PA
• Providers in Malvern, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.