Individual provider Active NPI

Shreya Patel, OD

  • Optometrist
  • Westport, CT
National Provider Identifier
1396920666
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2610 Issued in CT
Practice address
1240 Post Rd E Ste 1
Westport, CT 06880-5427
Phone
(203) 557-8426
Fax
(844) 809-7250
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2610 CT Primary

Addresses

Primary practice location

1240 Post Rd E Ste 1
Westport, CT 06880-5427

Mailing address

79 Ann St
Fairfield, CT 06824-5801
Phone (203) 678-3035

Other practice location 1

147 Post Rd E
Westport, CT 06880-3410
Phone (203) 557-8426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20130705000505 CT Practitioner - Optometry 8527208057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shreya Patel OD PCGroup PAC ID 7911147442, 3 clinicians

Practice addresses (Care Compare)

147 Post Rd E
Westport, CT 06880-3410
Phone (203) 557-8426

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shreya Patel OD, PC Optometrist CurrentSince Mar 1, 2013 Accepting new patients
Plainville Optical Past Accepting new patients

Locations

1240 Post Rd E
#1
Westport, CT 06880
Phone (203) 557-8426

147 Post Rd E
Westport, CT 06880
Phone (203) 557-8426

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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1396920666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 ANN ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245801",
            "telephone_number": "203-678-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 POST RD E STE 1",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805427",
            "telephone_number": "203-557-8426",
            "fax_number": "844-809-7250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 Post Rd E",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "068803410",
            "country_code": "US",
            "telephone_number": "203-557-8426",
            "fax_number": "844-809-7250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHREYA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.