Individual provider Active NPI

Avani Patel Amin, OD

  • Optometrist
  • West Chester, PA
National Provider Identifier
1407377674
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003430 Issued in PA
Practice address
1502 W Chester Pike Ste 15
West Chester, PA 19382-7705
Phone
(610) 708-5575
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003430 PA Primary

Addresses

Primary practice location

1502 W Chester Pike Ste 15
West Chester, PA 19382-7705

Mailing address

1502 W Chester Pike Ste 15
West Chester, PA 19382-7705
Phone (610) 708-5575

Other practice location 1

732 Main St
Manchester, CT 06040-5106
Phone (860) 649-5177

Other practice location 2

1806 Swamp Pike Ste 400
Gilbertsville, PA 19525-9307
Phone (610) 323-4445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20181010001655 PA Practitioner - Optometry 2062783517 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blackstone Vision LLCGroup PAC ID 8628477130, 2 clinicians

Practice addresses (Care Compare)

1502 W Chester Pike
Suite 15
West Chester, PA 19382-7705
Phone (610) 708-5575

30 S Trooper Rd
West Norriton, PA 19403-3050
Phone (610) 708-5834

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003430PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blackstone Vision LLC Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Blackstone Vision Trooper Optometrist CurrentSince Jul 29, 2024 Accepting new patients
Complete Family Eyecare, LTD Optometrist CurrentSince Sep 12, 2018 Accepting new patients

Locations

1806 Swamp Pike
#400
Gilbertsville, PA 19525
Phone (610) 323-4445

1502 W Chester Pike
Ste 15
West Chester, PA 19382
Phone (610) 708-5575

30 S Trooper Rd
West Norriton, PA 19403
Phone (610) 631-0400

Organizations & group practices 3

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407377674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W CHESTER PIKE STE 15",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193827705",
            "telephone_number": "610-708-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 W CHESTER PIKE STE 15",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193827705",
            "telephone_number": "610-708-5575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "732 Main St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060405106",
            "country_code": "US",
            "telephone_number": "860-649-5177",
            "fax_number": "860-643-4901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1806 Swamp Pike Ste 400",
            "address_purpose": "LOCATION",
            "city": "Gilbertsville",
            "state": "PA",
            "postal_code": "195259307",
            "country_code": "US",
            "telephone_number": "610-323-4445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIN",
        "first_name": "AVANI",
        "middle_name": "PATEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.