Active NPI
Tejas Dilip Patel, O.D.
- Optometrist
- Winter Garden, FL
National Provider Identifier
1477004729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 5289
- Practice address
- 16556 Olive Hill Dr
Winter Garden, FL 34787-9272 - Phone
- (352) 406-9915
- NPI assigned
- Oct 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 5289 | FL | Primary |
Addresses
Primary practice location
16556 Olive Hill Dr
Winter Garden, FL 34787-9272
Mailing address
16556 Olive Hill Dr
Winter Garden, FL 34787-9272
Phone (352) 406-9915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 5289 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| Eye Doctors Optical Outlets, PA | Optometrist | Current | Accepting new patients |
| Hamlin Eye Care, LLC | Optometrist | Current | Accepting new patients |
Locations
5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873
15820 Shaddock Dr
Ste 150
Winter Garden, FL 34787
Phone (407) 798-8485
Interoperability endpoints
- tejas.patel@uprisedirect.com
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.
-
- Optometrist
- Winter Garden, FL
- NPI 1770196131
-
- Optometrist
- Orlando, FL
- NPI 1164308771
-
- Optometrist
- Tampa, FL
- NPI 1114012689
-
- Optometrist
- Sarasota, FL
- NPI 1891023289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588636800000",
"number": "1477004729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16556 OLIVE HILL DR",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347879272",
"telephone_number": "352-406-9915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16556 OLIVE HILL DR",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347879272",
"telephone_number": "352-406-9915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "TEJAS",
"middle_name": "DILIP",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-21",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 5289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Garden, FL
- Ronald E Parris, RBT
- Kelsey Parry
- Kalindi Premila Patel
- Roma Patel, DPM
- Shweta Patel, MD
- Vimal Patel, RPH
- Peak Behavioral Center LLC (Peak Behavioral Center)
- Pearl Pediatric Clinic LLC
- Pediatric Dentistry of Horizon West LLC (Pediatric Dentistry of Horizon West)
- Pediatric Therapy Services of Greater Orlando, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.