Individual provider Active NPI

Kaajal Patel, O.D.

  • Optometrist
  • South Richmond Hill, NY
National Provider Identifier
1457539991
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2299 Issued in NC
Practice address
11510 Liberty Ave
South Richmond Hill, NY 11419-1902
Phone
(718) 323-6410
NPI assigned
Feb 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007152 NY
Optometrist 152W00000X 2299 NC Primary

Addresses

Primary practice location

11510 Liberty Ave
South Richmond Hill, NY 11419-1902

Mailing address

11510 Liberty Ave
South Richmond Hill, NY 11419-1902
Phone (718) 323-6410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130307000002 NC Practitioner - Optometry 5395990840 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Practice addresses (Care Compare)

2630 Peters Creek Pkwy
Winston Salem, NC 27127-5655
Phone (336) 785-3486

303 Salisbury Ave
Albemarle, NC 28001-3359
Phone (704) 982-6011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
TUV007152NYMDOptometrist
2299NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Camel City Optometric, P.a. Optometrist CurrentSince May 12, 2023 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Dec 3, 2025 Accepting new patients
Thurmond Eye Associates OD, PA CurrentSince May 3, 2023 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Mar 28, 2023 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Jan 4, 2026 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Dec 3, 2025 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Mar 28, 2023 Accepting new patients
C.V. Sikes,Jr. & R.B. Gotschalk PTR Optometrist Past Accepting new patients
Weitzel & Associates PA Optometrist Past Accepting new patients

Locations

8925 Ridgeline Blvd
Ste 107
Highlands Ranch, CO 80129
Phone (303) 791-2727

310 S Church St
Burlington, NC 27215
Phone (336) 222-1720

229 Crossroads Blvd
Cary, NC 27518
Phone (919) 233-8500

11030 Golf Links Dr
Ste 204
Charlotte, NC 28277
Phone (704) 943-5110

2001 S Glenburnie Rd
New Bern, NC 28562
Phone (252) 633-6900

4325 Glenwood Ave
Ste F
Raleigh, NC 27612
Phone (919) 786-0141

4325 Glenwood Ave
Raleigh, NC 27612
Phone (919) 782-4100

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

18 Bowman Dr
Ste C
Waynesville, NC 28785
Phone (800) 624-6575

2630 Peters Creek Pkwy
Winston Salem, NC 27127
Phone (336) 785-3486

604 N Trade St
#B
Winston Salem, NC 27101
Phone (336) 727-3727

230 Kings Hwy E
Haddonfield, NJ 08033
Phone (856) 617-4858

Organizations & group practices 11

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1457539991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11510 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191902",
            "telephone_number": "718-323-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11510 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191902",
            "telephone_number": "718-323-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KAAJAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007152",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.