Himali Patel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1055 Issued in MS

Practice address

1621 Highway 15 N
Laurel, MS 39440-2123

Phone

(601) 518-3937

Fax

(601) 518-0269

NPI assigned

Jul 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hattiesburg Eye Clinic, P.a.Group PAC ID 4587733829, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.78 of 100Reported as group

Quality

89.54

Improvement activities

40

Cost

53.22

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hattiesburg Eye Clinic, P.a.

  • Ophthalmology Physician
  • Hattiesburg, MS
  • NPI 1922110949

  Optometrist

  Medicare reassignment Care Compare group NPD
• Hattiesburg Eye Clinic, P.a.

  • Optometrist
  • Laurel, MS
  • NPI 1538369996
  NPD
• Childrens Hospital of Wisconsin, Inc.

  • Pediatrics Physician
  • Milwaukee, WI
  • NPI 1245308626
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1497328736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 HIGHWAY 15 N",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394402123",
            "telephone_number": "601-518-3937",
            "fax_number": "601-518-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 HIGHWAY 15 N",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394402123",
            "telephone_number": "601-518-3937",
            "fax_number": "601-518-0269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 W 20th St",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MS",
            "postal_code": "394401802",
            "country_code": "US",
            "telephone_number": "650-660-1649",
            "fax_number": "825-480-0624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HIMALI",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E92-TA-C42",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Treatment Center of Laurel LLC
• Gregory G Parker, NP
• Kenneth S Parker, ACNP
• Eva Dannielle Pate, NURSE PRACTITIONER
• Bharat Patel, M.D.
• Jaishri B Patel, MD
• Rajesh Yashwant Patel, MD
• Thilini Sandamali Pathigoda Acharige, MD
• Pathway Healthcare- Mississippi LLC
• Peak Physical Therapy, LLC

• Optometrist in Laurel, MS
• Providers in Laurel, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.