Active NPI
Kosha Patel
- Optometrist
- Chesapeake, VA
National Provider Identifier
1679291207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618003615
- Practice address
- 3206 Churchland Blvd
Chesapeake, VA 23321-5206 - Phone
- (757) 484-0101
- Fax
- (757) 484-0515
- NPI assigned
- Aug 19, 2022
- 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 | 0618003615 | VA | Primary |
Addresses
Primary practice location
3206 Churchland Blvd
Chesapeake, VA 23321-5206
Mailing address
3206 Churchland Blvd
Chesapeake, VA 23321-5206
Phone (757) 484-0101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009645 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1679291207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3206 CHURCHLAND BLVD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215206",
"telephone_number": "757-484-0101",
"fax_number": "757-484-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3206 CHURCHLAND BLVD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215206",
"telephone_number": "757-484-0101",
"fax_number": "757-484-0515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KOSHA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-19",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "VA",
"license": "0618003615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.