Individual provider Active NPI

Disha Patel, OD

  • Optometrist
  • Middletown, CT
National Provider Identifier
1396576641
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3.003481 Issued in CT
Practice address
850 Washington St
Middletown, CT 06457-2912
Phone
(978) 208-2390
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 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 3.003481 CT Primary

Addresses

Primary practice location

850 Washington St
Middletown, CT 06457-2912

Mailing address

5679 Blakeslee Ave
Harrisburg, PA 17111-4168

Other practice location 1

1470D Pleasant Valley Rd
Manchester, CT 06042-8761
Phone (860) 812-6267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

249 Hartford Ave
Bellingham, MA 02019-3007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
City Eye, LLC Optometrist CurrentSince Jul 13, 2026 Accepting new patients

Locations

850 Washington St
Middletown, CT 06457
Phone (860) 347-4664

35 Talcottville Rd
Vernon Rockville, CT 06066
Phone (860) 870-6337

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1396576641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5679 BLAKESLEE AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171114168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 WASHINGTON ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572912",
            "telephone_number": "978-208-2390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1470D Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060428761",
            "country_code": "US",
            "telephone_number": "860-812-6267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DISHA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3.003481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.