Dr. Manish C. Patel and Associates PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3505 Issued in FL

Legal business name

DR. MANISH C. PATEL AND ASSOCIATES PA

Doing business as

dba Eye Elements Eyecare Associates

Practice address

10915 Baymeadows Rd
Suite 110
Jacksonville, FL 32256-9130

Phone

(904) 716-5026

Fax

(904) 223-0088

NPI assigned

Nov 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Manish C. Patel, OD

Title

OD Owner/Provider

Phone

(904) 716-5026

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• dba Eye Elements Eyecare Associates Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295740800000",
    "number": "1477853869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10915 BAYMEADOWS RD",
            "address_2": "SUITE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569130",
            "telephone_number": "904-716-5026",
            "fax_number": "904-223-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10915 BAYMEADOWS RD",
            "address_2": "SUITE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569130",
            "telephone_number": "904-716-5026",
            "fax_number": "904-223-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MANISH C. PATEL AND ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2011-01-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MANISH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OD  OWNER/PROVIDER",
        "authorized_official_telephone_number": "904-716-5026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Eye Elements Eyecare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.