Organization Active NPI

Divine Optometric Eye Care

  • Optometrist
  • Matthews, NC
National Provider Identifier
1356748586
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC1919 Issued in NC
Legal business name
DIVINE OPTOMETRIC EYE CARE
Practice address
1013 Chestnut LN
Matthews, NC 28104-8566
Phone
(704) 821-5009
NPI assigned
Dec 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Dr. Nilpa Patel, OD
Title
Optometrist
Phone
(704) 839-0315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NC1919 NC Primary

Addresses

Primary practice location

1013 Chestnut LN
Matthews, NC 28104-8566

Mailing address

1013 Chestnut LN
Matthews, NC 28104-8566

National Provider Directory

National Provider Directory

Locations

1013 Chestnut Ln
Matthews, NC 28104
Phone (704) 307-7686

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1356748586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 CHESTNUT LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281048566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 CHESTNUT LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281048566",
            "telephone_number": "704-821-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE OPTOMETRIC EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NILPA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "704-839-0315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.