Vishal Sanjay Patel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002647 Issued in GA

Practice address

201 Kimberly Way
Suite 106
Canton, GA 30114-8008

Phone

(678) 381-2020

Fax

(678) 381-2015

NPI assigned

Nov 19, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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.

• Jonathan Woolfson, MD, PC

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1891935599
  Medicare reassignment NPD
• Woodstock Optometry, P.C.

  • Optometrist
  • Woodstock, GA
  • NPI 1417477902
  Medicare reassignment NPD
• Saltzman, Tanis, Pittell, Levin and Jacobson

  • Pediatrics Physician
  • Hollywood, FL
  • NPI 1639138480
  NPD (past)

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

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1508133588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 KIMBERLY WAY",
            "address_2": "SUITE 106",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148008",
            "telephone_number": "678-381-2020",
            "fax_number": "678-381-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KIMBERLY WAY",
            "address_2": "SUITE 106",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148008",
            "telephone_number": "678-381-2020",
            "fax_number": "678-381-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VISHAL",
        "middle_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-19",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neal Ramesh Patel, M.D.
• Nikunjbhai Patel
• Niraliben Patel, GA
• Raxit Rajesh Patel, MD
• Ricky Patel, DMD
• Pathway Internal Medicine
• Prashant V Patil, MD
• Cricket Patterson, PHARM.D.
• Kasey Jane Patterson, APC
• Jose Antony Pulikkal Paul, MD

• Optometrist in Canton, GA
• Providers in Canton, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.