Latisha Patel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

15271 Issued in CA

Practice address

1051 W Burbank Blvd
Burbank, CA 91506-1421

Phone

(818) 841-7055

NPI assigned

Jun 29, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Southern California College of Optometry, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Dr Latisha Patel a Professional Optometric CorporationGroup PAC ID 0840645479, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Latisha Patel a Professional Optometric Corporation

  • Optometrist
  • Eastvale, CA
  • NPI 1750877239
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1386026102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 CASTLEMAN LN",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061421",
            "telephone_number": "818-841-7055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3310 Castleman Ln",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915041664",
            "country_code": "US",
            "telephone_number": "818-326-0717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "LATISHA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Partnerships to Uplift Communities
• Viktoria Pashby
• Mark Thomas Paskewitz, MD
• Passionate Care Hospice, Inc.
• Jasmine Patel
• Mayur Patel
• Mayur C Patel, MD
• Nisha Mayur Patel, DDS
• Purvi Patel, MD
• Shailesh S Patel, MD

• Optometrist in Burbank, CA
• Providers in Burbank, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.

Verify at the official NPI Registry.