Individual provider Active NPI

Mona Milan Patel, OD

  • Optometrist
  • Davie, FL
National Provider Identifier
1366014151
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5965 Issued in FL
Practice address
4671 S University Dr
Davie, FL 33328
Phone
(954) 434-4671
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC5965 FL Primary

Addresses

Primary practice location

4671 S University Dr
Davie, FL 33328

Mailing address

4928 Tanya Lee Circle
Apt #7208
Davie, FL 33328
Phone (407) 810-9452

Other practice location 1

1031 Ives Dairy Rd
#133
Miami, FL 33179
Phone (305) 651-8832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20221012000554 FL Practitioner - Optometry 0648646984 Reassigns benefits to 2 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
James M Beranek OD PAGroup PAC ID 0648216325, 2 clinicians

Practice addresses (Care Compare)

4340 Sheridan St
Suite 102
Hollywood, FL 33021-3555
Phone (954) 987-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
James M Beranek OD PA Optometrist CurrentSince Apr 11, 2025 Accepting new patients
Vanmor Vision PA Optometrist CurrentSince Aug 24, 2023 Accepting new patients

Locations

4340 Sheridan St
Ste 102
Hollywood, FL 33021
Phone (954) 987-6500

4101 Hunters Park Ln
Ste 400
Orlando, FL 32837
Phone (407) 855-6132

Interoperability endpoints

  • Direct secure messaging: mona.patel@uprisedirect.com

Organizations & group practices 2

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": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1366014151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4928 TANYA LEE CIRCLE",
            "address_2": "APT #7208",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33328",
            "telephone_number": "407-810-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4671 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33328",
            "telephone_number": "954-434-4671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1031 Ives Dairy Rd",
            "address_2": "#133",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33179",
            "country_code": "US",
            "telephone_number": "305-651-8832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MONA",
        "middle_name": "MILAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.