Active NPI
Anjali Patel
- Optometrist
- Atlanta, GA
National Provider Identifier
1720098304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-2508
- Practice address
- 2905 Cobb Pkwy SE
Atlanta, GA 30339-3596 - Phone
- (770) 952-1100
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT-2508 | GA | Primary |
Addresses
Primary practice location
2905 Cobb Pkwy SE
Atlanta, GA 30339-3596
Mailing address
2905 Cobb Pkwy SE
Atlanta, GA 30339-3596
Phone (770) 952-1100
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT-2508 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431648000000",
"number": "1720098304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 COBB PKWY SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393596",
"telephone_number": "770-952-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 COBB PKWY SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393596",
"telephone_number": "770-952-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ANJALI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2015-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT-2508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.