Active NPI
Pravina P Patel, O.D.
- Optometrist
- Davie, FL
National Provider Identifier
1578870002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4571
- Practice address
- 3200 S University Dr
Terry Building Suite 1408
Davie, FL 33328-2018 - Phone
- (954) 262-1402
- Fax
- (954) 262-1818
- NPI assigned
- Sep 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC4571 | FL | Primary |
Addresses
Primary practice location
3200 S University Dr
Terry Building Suite 1408
Davie, FL 33328-2018
Mailing address
711 N Pine Island Rd
Unit 304
Plantation, FL 33324-1300
Phone (352) 256-4782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC4571 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starling Eye Group, P.a. | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Gainesville, FL
- NPI 1689753287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283472000000",
"number": "1578870002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 N PINE ISLAND RD",
"address_2": "UNIT 304",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241300",
"telephone_number": "352-256-4782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 S UNIVERSITY DR",
"address_2": "TERRY BUILDING SUITE 1408",
"city": "DAVIE",
"state": "FL",
"postal_code": "333282018",
"telephone_number": "954-262-1402",
"fax_number": "954-262-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PRAVINA",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-03",
"last_updated": "2010-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.