Organization Active NPI

Patel Eye Care PLLC

  • Optometrist
  • Orlando, FL
National Provider Identifier
1508514928
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Dr. Amita Patel, ODNPI 1215115506
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230630000268 FL Part B Supplier - Clinic/Group Practice 1456710029 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.