Active NPI
Nikil A Patel, O.D.
- Optometrist
- Atlanta, GA
National Provider Identifier
1528119245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002180
- Practice address
- 2900 Cumberland Mall SE
Atlanta, GA 30339-8107 - Phone
- (770) 431-1713
- Fax
- (770) 431-1714
- NPI assigned
- Jan 16, 2007
- Last updated
- Sep 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002180 | GA | |
| Optometrist | 152W00000X | 18003283A | IN | |
| Optometrist | 152W00000X | OPT002180 | GA | Primary |
Addresses
Primary practice location
2900 Cumberland Mall SE
Atlanta, GA 30339-8107
Mailing address
4688 Prater Way SE
Smyrna, GA 30080-9259
Phone (404) 983-8420
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 Cumberland Semall
Atlanta, GA 30339-8107
Phone (770) 431-1713
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002180 | GA | MD | Optometrist |
| 18003283A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vani Vision, P.C. | Optometrist | Current | Accepting new patients |
Locations
2900 Cumberland Mall SE
Atlanta, GA 30339
Phone (770) 431-1709
Organizations & group practices 1
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.
-
- Optometrist
- Atlanta, GA
- NPI 1295968337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1528119245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4688 PRATER WAY SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300809259",
"telephone_number": "404-983-8420",
"fax_number": "770-431-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 CUMBERLAND MALL SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303398107",
"telephone_number": "770-431-1713",
"fax_number": "770-431-1714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NIKIL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "002180",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003283A",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.
- 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.