Individual provider Active NPI

Sejal Patel, O.D.

  • Optometrist
  • Athens, GA
National Provider Identifier
1477966224
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003286 Issued in GA
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

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210407002826 GA Practitioner - Optometry 1557675402 Reassigns benefits to 2 organizations

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
Georgia Eye LLCGroup PAC ID 4082046230, 4 clinicians

Practice addresses (Care Compare)

1620 Prince Ave
Athens, GA 30606-6008
Phone 7065460170203

Merit-based Incentive Payment System (MIPS)

Final score
92.92 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003286GAMDOptometrist
046.010806ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Specialists of America, LLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Georgia Eye LLC Optometrist CurrentSince Jul 1, 2024 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

Verify at the official NPI Registry.