Charu Patel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010604 Issued in IL

Practice address

7200 Harrison Ave
Suite E265
Rockford, IL 61112-1017

Phone

(815) 332-2223

Fax

(815) 332-4488

NPI assigned

Sep 19, 2012

Last updated

Sep 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1699025486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 HARRISON AVE",
            "address_2": "SUITE E265",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121017",
            "telephone_number": "815-332-2223",
            "fax_number": "815-332-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 HARRISON AVE",
            "address_2": "SUITE E265",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121017",
            "telephone_number": "815-332-2223",
            "fax_number": "815-332-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHARU",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010604",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003748A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Lee Patan, PA-C
• Alpa Mahendra Patel, M.D.
• Arpita F Patel
• Ashay Patel
• Atul Jayant Patel, M.D.
• Charvi D. Patel, OD
• Chirag Patel, D.D.S.
• Deep M. Patel, PHARM.D., R.PH.
• Dhairya Patel
• Dhaval M Patel, MD

• Optometrist in Rockford, IL
• Providers in Rockford, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.