Shivani Patel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2247 Issued in SC

Practice address

9700 Redstone Dr Ste 300
Indian Land, SC 29707-5409

Phone

(803) 548-3937

NPI assigned

Jan 23, 2021

Last updated

Jan 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ivision Associates LLC

  • Optometrist
  • Indian Land, SC
  • NPI 1093227464
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1689264699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 WOODVIEW LN",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281048057",
            "telephone_number": "864-940-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 REDSTONE DR STE 300",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297075409",
            "telephone_number": "803-548-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIVANI",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-23",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhumika Patel, OD
• Mishali Patel, OD
• Nimish Kantilal Patel, MD
• Ronak Patel, PHARM.D.
• Shephali Nimish Patel, M.D.
• Hiwot Paulos
• Teresa Perez Cavnaugh, DDS
• Playxcience LLC
• Diane Christine Poehlman, LMHC
• Precision Vision

• Optometrist in Indian Land, SC
• Providers in Indian Land, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; 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.

Verify at the official NPI Registry.