Individual provider Active NPI

Vishal Rasik Patel, O.D.

  • Optometrist
  • Allentown, PA
National Provider Identifier
1477563401
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001796 Issued in PA
Practice address
4620 Broadway
Allentown, PA 18104-3214
Phone
(610) 841-7990
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001796 PA Primary

Addresses

Primary practice location

4620 Broadway
Allentown, PA 18104-3214

Mailing address

4620 Broadway
Allentown, PA 18104-3214
Phone (610) 841-7990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20061009000202 PA Practitioner - Optometry 3971509324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye 2 Eye PCGroup PAC ID 1254630734, 2 clinicians

Practice addresses (Care Compare)

4620 Broadway
Allentown, PA 18104-3214
Phone (610) 841-7990

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001796PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye 2 Eye, PC Optometrist CurrentSince May 1, 2016 Accepting new patients
Jon L Marberger Optometrist Past Accepting new patients

Locations

4620 Broadway
Allentown, PA 18104
Phone (610) 841-7990

Organizations & group practices 2

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1477563401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 BROADWAY",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043214",
            "telephone_number": "610-841-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 BROADWAY",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043214",
            "telephone_number": "610-841-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VISHAL",
        "middle_name": "RASIK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.