Active NPI
Sejal Patel, O.D.
- Optometrist
- Athens, GA
National Provider Identifier
1477966224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003286
- Practice address
- 1620 Prince Ave
Athens, GA 30606-6008 - Phone
- (706) 546-0170
- Fax
- (706) 546-5015
- NPI assigned
- Jun 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046.010806 | IL | |
| Optometrist | 152W00000X | OPT003286 | GA | Primary |
Addresses
Primary practice location
1620 Prince Ave
Athens, GA 30606-6008
Mailing address
2232 Talmai Dr
Snellville, GA 30078-6202
Phone (618) 214-9145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1620 Prince Ave
Athens, GA 30606-6008
Phone 7065460170203
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.92 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003286 | GA | MD | Optometrist |
| 046.010806 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Specialists of America, LLC | Optometrist | Current | Accepting new patients |
| Georgia Eye LLC | Optometrist | Current | Accepting new patients |
Locations
140 Trinity Pl
#B
Athens, GA 30607
Phone (706) 389-0864
1620 Prince Ave
Athens, GA 30606
Phone (706) 546-0170
1030 Founders Row
Ste C
Greensboro, GA 30642
Phone 7065460170 ext. 203
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": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1477966224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2232 TALMAI DR",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300786202",
"telephone_number": "618-214-9145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 PRINCE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066008",
"telephone_number": "706-546-0170",
"fax_number": "706-546-5015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SEJAL",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-10",
"last_updated": "2024-06-11",
"certification_date": "2021-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.010806",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.