Individual provider Active NPI

Purvi D. Patel, O.D.

  • Optometrist
  • Folsom, CA
National Provider Identifier
1487849394
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13377T Issued in CA
Practice address
410 Palladio Pkwy Ste 1625
Folsom, CA 95630-8829
Phone
(916) 985-6399
Fax
(916) 985-0601
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13377T CA Primary

Addresses

Primary practice location

410 Palladio Pkwy Ste 1625
Folsom, CA 95630-8829

Mailing address

410 Palladio Pkwy Ste 1625
Folsom, CA 95630-8829
Phone (916) 985-6399

Other identifiers 1

IdentifierTypeStateIssuer
13377OtherCALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130726000488 CA Practitioner - Optometry 3274774633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bidwell OptometryGroup PAC ID 9739353558, 2 clinicians

Practice addresses (Care Compare)

2545 E Bidwell St
Folsom, CA 95630-6442
Phone (916) 983-0896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13377TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bidwell Optometry Optometrist CurrentSince Sep 4, 2019 Accepting new patients
Visually Sound Optometry Optometrist PastSince Oct 10, 2017 Accepting new patients
Visually Sound Optometry Optometrist Past Accepting new patients

Locations

2545 E Bidwell St
Ste 160
Folsom, CA 95630
Phone (916) 983-0896

Organizations & group practices 3

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1487849394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 PALLADIO PKWY STE 1625",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308829",
            "telephone_number": "916-985-6399",
            "fax_number": "916-985-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PALLADIO PKWY STE 1625",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308829",
            "telephone_number": "916-985-6399",
            "fax_number": "916-985-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PURVI",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13377T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "13377",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.