Active NPI
Ishani Patel, OD
- Optometrist
- Lawton, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3237
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 W Gore Blvd
Lawton, OK 73501-3606
Phone (580) 355-3036
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3237 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monique Leong OD PLLC | Optometrist | Current | Accepting new patients |
| Eye Health Associates, P.L.L.C. | Optometrist | Current | 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.
-
dba Advanced Eye Care
- Ophthalmology Physician
- Orlando, FL
- NPI 1881661692
OK
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.