Active NPI
Patel Eye Care PLLC
- Optometrist
- Orlando, FL
National Provider Identifier
1508514928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- PATEL EYE CARE PLLC
- Practice address
- 8685 Fenton St
Ste 130
Orlando, FL 32836 - Phone
- (954) 465-0030
- NPI assigned
- Mar 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amita Patel, OD
- Title
- Owner
- Phone
- (954) 465-0030
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
8685 Fenton St
Ste 130
Orlando, FL 32836
Mailing address
6449 Swanson St
Windermere, FL 34786-4120
Phone (954) 465-0030
Other names 1
- Eyedeology eyecare and optical Boutique
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8685 Fenton St
Orlando, FL 32836
8685 Fenton St
Ste 130
Orlando, FL 32836
Phone (407) 470-0579
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688342400000",
"number": "1508514928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6449 SWANSON ST",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347864120",
"telephone_number": "954-465-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8685 FENTON ST",
"address_2": "STE 130",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32836",
"telephone_number": "954-465-0030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATEL EYE CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-15",
"last_updated": "2023-07-03",
"certification_date": "2023-06-21",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "AMITA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-465-0030",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eyedeology eyecare and optical Boutique",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Eyedeology eyecare and optical Boutique",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.