Individual provider Active NPI

Pritesh Patel, O.D.

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1346693769
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2902 Issued in OK
Practice address
10740 S. May Ave
Suite 115
Oklahoma City, OK 73170-5152
Phone
(405) 608-3055
Fax
(405) 607-1757
NPI assigned
Jul 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 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 2902 OK Primary

Addresses

Primary practice location

10740 S. May Ave
Suite 115
Oklahoma City, OK 73170-5152

Mailing address

10740 S. May Ave
Suite 115
Oklahoma City, OK 73170-5152
Phone (405) 608-3055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20161108000065 OK Practitioner - Optometry 4183903503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10740 S May Ave
Suite 115
Oklahoma City, OK 73170-2479
Phone (405) 608-3055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2902OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jai Sia Ram PC Optometrist CurrentSince Jul 26, 2016 Accepting new patients
Southwest Eye Clinic, PLLC CurrentSince Dec 1, 2024 Accepting new patients
Southwest Eye Clinic, PLLC Past Accepting new patients

Locations

10740 S May Ave
Ste 115
Oklahoma City, OK 73170
Phone (405) 226-7945

9913 S May Ave
Ste C
Oklahoma City, OK 73159
Phone (405) 605-4350

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3236/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pritesh.patel.1@3236.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1346693769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 S. MAY AVE",
            "address_2": "SUITE 115",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705152",
            "telephone_number": "405-608-3055",
            "fax_number": "405-607-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 S. MAY AVE",
            "address_2": "SUITE 115",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705152",
            "telephone_number": "405-608-3055",
            "fax_number": "405-607-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRITESH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.