Active NPI
Viral Manubhai Patel, O.D.
- Student in an Organized Health Care Education/Training Program
- Rockford, IL
National Provider Identifier
1689021636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2995 Eastrock Dr
Rockford, IL 61109-1737 - Phone
- (815) 226-1500
- Fax
- (815) 484-9307
- NPI assigned
- May 19, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2995 Eastrock Dr
Rockford, IL 61109-1737
Mailing address
2995 Eastrock Dr
Rockford, IL 61109-1737
Phone (815) 226-1500
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miller Eye Center LTD | Past | Accepting new patients | |
| Miller Eye Center LTD | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Eyewear Supplier
- Rockford, IL
- NPI 1619063013
-
- Clinic/Center
- Rockford, IL
- NPI 1750376638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1689021636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 EASTROCK DR",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611091737",
"telephone_number": "815-226-1500",
"fax_number": "815-484-9307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2995 EASTROCK DR",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611091737",
"telephone_number": "815-226-1500",
"fax_number": "815-484-9307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "VIRAL",
"middle_name": "MANUBHAI",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-19",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.