Individual provider Active NPI

Ishita Patel, OD

  • Optometrist
  • Lancaster, SC
National Provider Identifier
1457082059
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2357 Issued in SC
Practice address
929 N Main St
Lancaster, SC 29720-2188
Phone
(803) 285-8433
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 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 2357 SC Primary

Addresses

Primary practice location

929 N Main St
Lancaster, SC 29720-2188

Mailing address

929 N Main St
Lancaster, SC 29720-2188

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
I20231017003961 SC Practitioner - Optometry 8426403023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of SC LLCGroup PAC ID 4587998802, 63 clinicians

Practice addresses (Care Compare)

929 N Main St
Lancaster, SC 29720-2188
Phone (803) 285-8433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2357SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of SC LLC Optometrist CurrentSince Mar 25, 2025 Accepting new patients
Dukes Eyecare LLC CurrentSince Sep 3, 2023 Accepting new patients
F Mason Smith Optometrist Past Accepting new patients

Locations

929 N Main St
Lancaster, SC 29720
Phone (803) 285-8433

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

10805 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 979-2400

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": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1457082059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N MAIN ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N MAIN ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202188",
            "telephone_number": "803-285-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ISHITA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.