Individual provider Active NPI

Manish K. Patel, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1346318383
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05814TG Issued in TX
Practice address
5353 W Highway 290
Suite 102
Austin, TX 78735-0045
Phone
(512) 899-2020
Fax
(512) 899-3295
NPI assigned
Nov 30, 2006
Last updated
May 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05814TG TX Primary

Addresses

Primary practice location

5353 W Highway 290
Suite 102
Austin, TX 78735-0045

Mailing address

5353 W Highway 290
Suite 102
Austin, TX 78735-0045
Phone (512) 899-2020

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
I20060208000695 TX Practitioner - Optometry 9133134307 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5814TXMDChiropractor
05814TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Sep 21, 2021 Accepting new patients
Capital Optometry Group, PA Optometrist CurrentSince Dec 5, 2005 Accepting new patients
Dry Eye Associates, PLLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

3305 Northland Dr
Ste 505
Austin, TX 78731
Phone (512) 494-4141

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

5353 W Highway 290
Ste 102
Austin, TX 78735
Phone (512) 889-2020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

3385 Naaman School Rd
Garland, TX 75040
Phone (972) 469-2020

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

1502 Blue Ridge Dr
Ste 301
Georgetown, TX 78626
Phone (512) 409-9903

Organizations & group practices 4

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1346318383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 W HIGHWAY 290",
            "address_2": "SUITE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787350045",
            "telephone_number": "512-899-2020",
            "fax_number": "512-899-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 W HIGHWAY 290",
            "address_2": "SUITE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787350045",
            "telephone_number": "512-899-2020",
            "fax_number": "512-899-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANISH",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05814TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.