Individual provider Active NPI

Meera Patel Sampat, OD

  • Optometrist
  • Cedar Park, TX
National Provider Identifier
1417469412
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10277TG Issued in TX
Practice address
11200 Lakeline Mall Dr
Cedar Park, TX 78613-1501
Phone
(512) 257-7070
NPI assigned
Oct 30, 2017
Sex
Female
Sole proprietor
No

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003500 PA
Optometrist 152W00000X 27OA00677000 NJ
Optometrist 152W00000X 10277TG TX Primary

Addresses

Primary practice location

11200 Lakeline Mall Dr
Cedar Park, TX 78613-1501

Mailing address

2511 W Braker LN Apt 311
Austin, TX 78758-1212
Phone (201) 310-8697

Other practice location 1

10515 N Mopac Expy Ste 115
Austin, TX 78759-5324
Phone (512) 345-7290

Other names 1

  • Meera Shailesh Patel Former name

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
I20211026001567 TX Practitioner - Optometry 8820330285 Reassigns benefits to 1 organization

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
Elite Vision Group, PLLCGroup PAC ID 2062805781, 22 clinicians

Practice addresses (Care Compare)

2601 S Ih
35 Suite C100
Round Rock, TX 78664-7336
Phone (512) 246-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00677000NJMDOptometrist
OEG003500PAMDOptometrist
10277TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Vision Group, PLLC Optometrist CurrentSince Jan 28, 2022 Accepting new patients

Locations

14005 Research Blvd
Ste 100
Austin, TX 78717
Phone (512) 257-0013

10515 N Mopac Expy
Ste 115
Austin, TX 78759
Phone (512) 345-7260

1201 Barbara Jordan Blvd
Ste 1480
Austin, TX 78723
Phone (512) 320-1968

11200 Lakeline Mall Dr
Ste H5
Cedar Park, TX 78613
Phone (512) 257-0013

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": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1417469412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 W BRAKER LN APT 311",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787581212",
            "telephone_number": "201-310-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 LAKELINE MALL DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131501",
            "telephone_number": "512-257-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10515 N Mopac Expy Ste 115",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787595324",
            "country_code": "US",
            "telephone_number": "512-345-7290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPAT",
        "first_name": "MEERA",
        "middle_name": "PATEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003500",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00677000",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10277TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEERA",
            "last_name": "PATEL",
            "middle_name": "SHAILESH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.