Individual provider Active NPI

Ashmi Patel, O.D

  • Optometrist
  • Montclair, CA
National Provider Identifier
1447573738
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13799 Issued in CA
Practice address
5100 E Montclair Plaza LN
Montclair, CA 91763-1528
Phone
(909) 621-6388
NPI assigned
Mar 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13799 CA Primary

Addresses

Primary practice location

5100 E Montclair Plaza LN
Montclair, CA 91763-1528

Mailing address

5100 E Montclair Plaza LN
Montclair, CA 91763-1528
Phone (909) 621-6388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201229001767 CA Practitioner - Optometry 2264629179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashmi Patel OD a Professional Optometric CorporationGroup PAC ID 8921411596, 2 clinicians

Practice addresses (Care Compare)

944 W Foothill Blvd
Suite a
Upland, CA 91786-3757
Phone (909) 982-3040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13799CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashmi Patel OD a Professional Optometric Corporation Optometrist CurrentSince Dec 2, 2020 Accepting new patients
Ashmi Patel O.D, Apoc Current Accepting new patients
Donald H Spaulding OD Inc Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Usv Optical Inc Optometrist Past Accepting new patients

Locations

5100 E Montclair Plaza Ln
Montclair, CA 91763
Phone (909) 621-6388

944 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (714) 553-3115

Organizations & group practices 4

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": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1447573738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 E MONTCLAIR PLAZA LN",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631528",
            "telephone_number": "909-621-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 E MONTCLAIR PLAZA LN",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631528",
            "telephone_number": "909-621-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ASHMI",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

Verify at the official NPI Registry.