Individual provider Active NPI

Janakkumar Vijaykumar Patel, O.D.

  • Optometrist
  • Attalla, AL
National Provider Identifier
1487088944
Registry record updated Sep 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-D16-TA-964 Issued in AL
Practice address
973 Gilbert Ferry Rd SE
Attalla, AL 35954-3339
Phone
(256) 538-7902
NPI assigned
Sep 2, 2013
Last updated
Sep 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-D16-TA-964 AL Primary

Addresses

Primary practice location

973 Gilbert Ferry Rd SE
Attalla, AL 35954-3339

Mailing address

111 John Ave SE
Attalla, AL 35954-3464
Phone (256) 458-8118

Other names 1

  • Dr. Jay V Patel Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230504000900 AL Practitioner - Optometry 9537524129 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-D16-TA-964ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Alabama, LLC Optometrist CurrentSince Apr 1, 2023 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist CurrentSince Apr 1, 2023 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist Current Accepting new patients
Saint Kabir Inc Optometrist Past Accepting new patients

Locations

3431 Colonnade Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 967-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1378080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378080000000",
    "number": "1487088944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JOHN AVE SE",
            "city": "ATTALLA",
            "state": "AL",
            "postal_code": "359543464",
            "telephone_number": "256-458-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 GILBERT FERRY RD SE",
            "city": "ATTALLA",
            "state": "AL",
            "postal_code": "359543339",
            "telephone_number": "256-538-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JANAKKUMAR",
        "middle_name": "VIJAYKUMAR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-02",
        "last_updated": "2013-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D16-TA-964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "PATEL",
            "middle_name": "V",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Attalla, AL

Sources for this page

Verify at the official NPI Registry.