Individual provider Active NPI

Saurin Patel, O.D.

  • Optometrist
  • Upper Darby, PA
National Provider Identifier
1689965097
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3348 Issued in PA
Practice address
1560 Garrett Rd Ste F
Upper Darby, PA 19082-4516
Phone
(610) 623-0039
NPI assigned
Apr 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3348 PA Primary
Optometrist 152W00000X 007667 NY

Addresses

Primary practice location

1560 Garrett Rd Ste F
Upper Darby, PA 19082-4516

Mailing address

1560 Garrett Rd Ste F
Upper Darby, PA 19082-4516
Phone (610) 623-0039

Other practice location 1

9 Colony Dr
Marlboro, NJ 07746-2120
Phone (732) 668-8320

Other practice location 2

1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone (215) 276-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120203000586 NJ Practitioner - Optometry 6305016627
I20180521000821 PA Practitioner - Optometry 6305016627 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
007667NYMDMental Health Counselor
3348PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Nov 14, 2023 Accepting new patients
Pennsylvania College of Optometry Optometrist PastSince Jan 9, 2019 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist Past Accepting new patients
Luxottica of America Inc PastSince Aug 2, 2011 Accepting new patients
Serenity Vision, LLC. Optometrist Past Accepting new patients
Eyecare Specialties Support of NJ PC Optometrist PastSince Jul 15, 2025 Accepting new patients

Locations

93 W Devon Dr
Ste 101
Exton, PA 19341
Phone (610) 363-8960

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

1560 Garrett Rd
Ste F
Upper Darby, PA 19082
Phone (610) 623-0039

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1689965097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 GARRETT RD STE F",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190824516",
            "telephone_number": "610-623-0039",
            "fax_number": "610-623-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 GARRETT RD STE F",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190824516",
            "telephone_number": "610-623-0039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Colony Dr",
            "address_purpose": "LOCATION",
            "city": "Marlboro",
            "state": "NJ",
            "postal_code": "077462120",
            "country_code": "US",
            "telephone_number": "732-668-8320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 W Godfrey Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413323",
            "country_code": "US",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SAURIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "3348",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

Verify at the official NPI Registry.