Active NPI
Pritesh S Patel, OD
- Optometrist
- Ocean Springs, MS
National Provider Identifier
1609398809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 961
- Practice address
- 2510 Bienville Blvd
Ocean Springs, MS 39564 - Phone
- (228) 875-3318
- Fax
- (228) 875-3398
- NPI assigned
- Jul 10, 2017
- Last updated
- Sep 20, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 961 | MS | Primary |
Addresses
Primary practice location
2510 Bienville Blvd
Ocean Springs, MS 39564
Mailing address
2510 Bienville Blvd
Ocean Springs, MS 39564-3117
Phone (228) 875-3318
Other practice location 1
3430 Bienville Blvd
Ocean Springs, MS 39564-5732
Phone (228) 875-6658 ext. 204
Other practice location 2
3111 Shortcut Rd
Pascagoula, MS 39567-1811
Phone (228) 762-0772
Other practice location 3
2510 Bienville Blvd
Ocean Springs, MS 39564-3117
Phone (228) 875-3318
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 |
|---|---|---|---|
| 961 | MS | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1609398809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 BIENVILLE BLVD",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395643117",
"telephone_number": "228-875-3318",
"fax_number": "228-875-3398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 BIENVILLE BLVD",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "39564",
"telephone_number": "228-875-3318",
"fax_number": "228-875-3398"
}
],
"practiceLocations": [
{
"address_1": "3430 Bienville Blvd",
"address_purpose": "LOCATION",
"city": "Ocean Springs",
"state": "MS",
"postal_code": "395645732",
"country_code": "US",
"telephone_number": "228-875-6658 x204",
"fax_number": "228-875-0809",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3111 Shortcut Rd",
"address_purpose": "LOCATION",
"city": "Pascagoula",
"state": "MS",
"postal_code": "395671811",
"country_code": "US",
"telephone_number": "228-762-0772",
"fax_number": "228-762-6007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2510 Bienville Blvd",
"address_purpose": "LOCATION",
"city": "Ocean Springs",
"state": "MS",
"postal_code": "395643117",
"country_code": "US",
"telephone_number": "228-875-3318",
"fax_number": "228-875-3398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "PRITESH",
"middle_name": "S",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-10",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocean Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.