Individual provider Active NPI

Ishani Patel, OD

  • Optometrist
  • Lawton, OK
National Provider Identifier
1356070254
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3237 Issued in OK
Practice address
409 SW C Ave
Lawton, OK 73501-4017
Phone
(270) 415-0245
Fax
(580) 248-4500
NPI assigned
Jun 7, 2022
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2269DT KY
Optometrist 152W00000X 3237 OK Primary

Addresses

Primary practice location

409 SW C Ave
Lawton, OK 73501-4017

Mailing address

1130 Lone Oak Rd
Paducah, KY 42003-4525
Phone (270) 415-0245

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 580-248-4500

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
I20240703001079 OK Practitioner - Optometry 4082094008 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monique Leong OD PLLCGroup PAC ID 8123262672, 2 clinicians

Practice addresses (Care Compare)

1415 W Gore Blvd
Lawton, OK 73501-3606
Phone (580) 355-3036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3237OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Monique Leong OD PLLC Optometrist CurrentSince Aug 11, 2025 Accepting new patients
Eye Health Associates, P.L.L.C. Optometrist CurrentSince Apr 26, 2024 Accepting new patients

Locations

1415 W Gore Blvd
Lawton, OK 73501
Phone (580) 355-3036

409 SW C Ave
Lawton, OK 73501
Phone (580) 248-5280

4250 NW Cache Rd
Lawton, OK 73505
Phone (580) 248-0061

2946 NW 32nd St
Ste A
Newcastle, OK 73065
Phone (405) 387-4884

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1356070254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034525",
            "telephone_number": "270-415-0245",
            "fax_number": "270-415-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 SW C AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014017",
            "telephone_number": "270-415-0245",
            "fax_number": "580-248-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ISHANI",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2269DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "580-248-4500",
            "affiliation": "N",
            "endpointDescription": "FAX Number",
            "address_1": "409 SW C Ave",
            "city": "Lawton",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735014017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.