Individual provider Active NPI

Nimesh Patel, OD

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1396809877
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1184 Issued in AZ
Practice address
6555 E Southern Ave
#2410
Mesa, AZ 85206-3718
Phone
(480) 985-7239
Fax
(480) 985-7346
NPI assigned
Dec 20, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1184 AZ Primary

Addresses

Primary practice location

6555 E Southern Ave
#2410
Mesa, AZ 85206-3718

Mailing address

11103 West Ave
Ste 6
San Antonio, TX 78213-1370
Phone (210) 524-6803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040623000857 AZ Practitioner - Optometry 3678558590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dnanda Eyecare PLLCGroup PAC ID 7911381959, 10 clinicians

Practice addresses (Care Compare)

3111 W Chandler Blvd
Suite 2104
Chandler, AZ 85226-5085
Phone (480) 726-7009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1184AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Onesource Senior Healthcare PLLC Optometrist CurrentSince Apr 9, 2019 Accepting new patients
DN&a Eyecare PLLC Optometrist CurrentSince Jun 30, 2024 Accepting new patients
Dr. Nez and Associates Inc Optometrist CurrentSince Jun 30, 2024 Accepting new patients
Tom Sowash OD & Associates PC Optometrist Past Accepting new patients
Visionworks Inc Past Accepting new patients
Optometric Special Testing Centers, Inc. Optometrist Past Accepting new patients
S L Christensen O D & Assoc P C Optometrist Past Accepting new patients

Locations

3111 W Chandler Blvd
Ste 2104
Chandler, AZ 85226
Phone (480) 726-7009

1649 S Stapley Dr
Ste 108
Mesa, AZ 85204
Phone (480) 345-7520

16427 N Scottsdale Rd
Ste 410
Scottsdale, AZ 85254
Phone (480) 418-1932

7620 E McKellips Rd
Ste 4
Scottsdale, AZ 85257

Organizations & group practices 7

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396809877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "STE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6803",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 E SOUTHERN AVE",
            "address_2": "#2410",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063718",
            "telephone_number": "480-985-7239",
            "fax_number": "480-985-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIMESH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.