Individual provider Active NPI

Sita Patel, OD

  • Optometrist
  • Monroe, NC
National Provider Identifier
1700207511
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1784 Issued in NC
Practice address
1007 Skyway Dr Ste a
Monroe, NC 28110-3051
Phone
(704) 289-1547
Fax
(704) 291-9441
NPI assigned
Dec 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1784 NC Primary

Addresses

Primary practice location

1007 Skyway Dr Ste a
Monroe, NC 28110-3051

Mailing address

PO Box 207261
Dallas, TX 75320-7261
Phone (636) 200-4393

Other practice location 1

7510 Pineville Matthews Rd
Charlotte, NC 28226-3906
Phone (704) 542-2844

Other practice location 2

113 Country Club Dr NE
Concord, NC 28025-2935
Phone (704) 786-7600

Other practice location 3

5850 W Highway 74 Ste 116
Indian Trail, NC 28079-3476
Phone (704) 234-7355

Other practice location 4

1001 E Wt Harris Blvd Ste H
Charlotte, NC 28213-5180
Phone (704) 549-4523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20150612000932 NC Practitioner - Optometry 7517278831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Practice addresses (Care Compare)

113 Country Club Dr NE
Concord, NC 28025-2935
Phone (704) 786-7600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1784NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist CurrentSince Jan 11, 2016 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Jan 11, 2016 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients

Locations

6311 Carmel Rd
Charlotte, NC 28226
Phone (704) 542-2844

7510 Pineville Matthews Rd
Charlotte, NC 28226
Phone (704) 542-2844

1208 South Blvd
Charlotte, NC 28203
Phone (704) 392-2020

1001 E Wt Harris Blvd
Ste H
Charlotte, NC 28213
Phone (704) 549-4523

6311 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 542-2844

113 Country Club Dr NE
Concord, NC 28025
Phone (704) 786-7600

1007 Skyway Dr
Ste A
Monroe, NC 28110
Phone (704) 289-1547

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

2325 Sunset Ave
Rocky Mount, NC 27804

Interoperability endpoints

  • Direct secure messaging: spatel1@direct.eyecare-partners.com

Organizations & group practices 3

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": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1700207511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207261",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207261",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 SKYWAY DR STE A",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103051",
            "telephone_number": "704-289-1547",
            "fax_number": "704-291-9441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7510 Pineville Matthews Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282263906",
            "country_code": "US",
            "telephone_number": "704-542-2844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Country Club Dr NE",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252935",
            "country_code": "US",
            "telephone_number": "704-786-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5850 W Highway 74 Ste 116",
            "address_purpose": "LOCATION",
            "city": "Indian Trail",
            "state": "NC",
            "postal_code": "280793476",
            "country_code": "US",
            "telephone_number": "704-234-7355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 E Wt Harris Blvd Ste H",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282135180",
            "country_code": "US",
            "telephone_number": "704-549-4523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SITA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.