Individual provider Active NPI

Ronak Patel, OD

  • Optometrist
  • West Chester, PA
National Provider Identifier
1356182836
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG004151 Issued in PA
Practice address
795 E Marshall St Ste 103
West Chester, PA 19380-4400
Phone
(610) 429-3004
NPI assigned
Jun 6, 2024
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004151 PA Primary

Addresses

Primary practice location

795 E Marshall St Ste 103
West Chester, PA 19380-4400

Mailing address

11 W Lancaster Ave
Ardmore, PA 19003-1417
Phone (610) 642-2151

Other practice location 1

11 W Lancaster Ave
Ardmore, PA 19003-1417
Phone (610) 642-2151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240711004495 PA Practitioner - Optometry 7416492624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2726 Woodsview Dr
Bensalem, PA 19020-6017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG004151PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mudgil Eye Associates PC CurrentSince Aug 1, 2024 Accepting new patients

Locations

795 E Marshall St
Ste 103
West Chester, PA 19380
Phone (610) 429-3004

Interoperability endpoints

  • Direct secure messaging: rpatel@mudgil.direct.eyemdemr.com

Organizations & group practices 1

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": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1356182836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W LANCASTER AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031417",
            "telephone_number": "610-642-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 E MARSHALL ST STE 103",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804400",
            "telephone_number": "610-429-3004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 W Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "PA",
            "postal_code": "190031417",
            "country_code": "US",
            "telephone_number": "610-642-2151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RONAK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-06",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.