Active NPI
Nim Paras Bhavsar, O.D.
- Optometrist
- Indianapolis, IN
National Provider Identifier
1487086468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003813A
- Practice address
- 4616 W 38TH St
Indianapolis, IN 46254-3316 - Phone
- (317) 328-1022
- NPI assigned
- Aug 1, 2013
- Last updated
- Aug 1, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 18003813A | IN | Primary |
Addresses
Primary practice location
4616 W 38TH St
Indianapolis, IN 46254-3316
Mailing address
12325 Teacup Way
Indianapolis, IN 46235-6128
Phone (630) 697-1491
Other names 1
- Ms. Nim Rajendra Patel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18003813A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1487086468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12325 TEACUP WAY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462356128",
"telephone_number": "630-697-1491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4616 W 38TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462543316",
"telephone_number": "317-328-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAVSAR",
"first_name": "NIM",
"middle_name": "PARAS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-01",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003813A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NIM",
"last_name": "PATEL",
"middle_name": "RAJENDRA",
"prefix": "MS.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.