Individual provider Active NPI

Rita N Patel, O.D

  • Optometrist
  • Irving, TX
National Provider Identifier
1407973134
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6669T Issued in TX
Practice address
811 W Royal LN Ste 100
Irving, TX 75039-4302
Phone
(214) 393-3008
Fax
(214) 393-3009
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 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 6669T TX Primary

Addresses

Primary practice location

811 W Royal LN Ste 100
Irving, TX 75039-4302

Mailing address

811 W. Royal Lane
Suite 100
Irving, TX 75039
Phone (214) 393-3008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050209000914 TX Practitioner - Optometry 0547211260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7859 Walnut Hill LN
Suite 185
Dallas, TX 75230-5605
Phone (214) 378-2020

811 W Royal Lane
Suite 100
Irving, TX 75039-4302

811 W Royal LN
Suite 100
Irving, TX 75039-4302
Phone (214) 393-3008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6669TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Libra Optometry PA Optometrist CurrentSince Feb 1, 2022 Accepting new patients
Gemscorp Optometry PA Optometrist PastSince Aug 3, 2010 Accepting new patients

Locations

7859 Walnut Hill Ln
Ste 185
Dallas, TX 75230
Phone (214) 378-2020

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1407973134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W. ROYAL LANE",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75039",
            "telephone_number": "214-393-3008",
            "fax_number": "214-393-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W ROYAL LN STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394302",
            "telephone_number": "214-393-3008",
            "fax_number": "214-393-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RITA",
        "middle_name": "N",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6669T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.