Individual provider Active NPI

Ankur Mahendra Patel, OD

  • Optometrist
  • Anderson, SC
National Provider Identifier
1447742606
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2062 Issued in SC
Practice address
104 Station Dr
Anderson, SC 29621-1173
Phone
(864) 332-4640
NPI assigned
Jun 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2062 SC Primary

Addresses

Primary practice location

104 Station Dr
Anderson, SC 29621-1173

Mailing address

30 Market Point Dr Apt 7206
Greenville, SC 29607-7900
Phone (803) 292-5666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20190718000917 SC Practitioner - Optometry 0941535579 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2062SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of SC LLC Optometrist CurrentSince Feb 28, 2022 Accepting new patients
America'S Best Contacts & Eyeglasses Past Accepting new patients
F Mason Smith Optometrist Past Accepting new patients

Locations

966 Houston Northcutt Blvd
Ste D
Mt Pleasant, SC 29464
Phone (843) 881-2492

9770 Dorchester Rd
Unit 101
Summerville, SC 29485
Phone (843) 767-2328

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1447742606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MARKET POINT DR APT 7206",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296077900",
            "telephone_number": "803-292-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 STATION DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211173",
            "telephone_number": "864-332-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANKUR",
        "middle_name": "MAHENDRA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.