Pratik J Patel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00728300 Issued in NJ

Practice address

112 Eisenhower Pkwy Ste 44
Livingston, NJ 07039-4900

Phone

(973) 771-8630

NPI assigned

Jun 14, 2024

Last updated

Mar 3, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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 NJ

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

EyewellnissGroup PAC ID 6406222488, 8 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyewellniss

  • Health Service Clinic/Center
  • Livingston, NJ
  • NPI 1578298535
  Medicare reassignment Care Compare group NPD
• Hudson Eyecare Associates PA

  dba Hudson Eyecare Associates

  • Optometrist
  • Jersey City, NJ
  • NPI 1811162159
  Medicare reassignment
• Rustagi Eye Associates LLC

  • Optometrist
  • West New York, NJ
  • NPI 1043451271
  NPD
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1508609793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 EISENHOWER PKWY STE 44",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394900",
            "telephone_number": "973-771-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 EISENHOWER PKWY STE 44",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394900",
            "telephone_number": "973-771-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRATIK",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-14",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00728300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhargavi N/a Patel, APN
• Dhara H Patel, PA-C
• Dipa Patel, OT
• Jalpa Patel, M.D.
• Mansi Patel, M.D.
• Puja Patel
• Puja H Patel
• Radha Patel
• Shivangi R Patel, PA
• Sina Patel, PA

• Optometrist in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.