Active NPI
Jignesh Babu Patel, O.D.
- Optometrist
- Philadelphia, PA
National Provider Identifier
1720115504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000911
- Practice address
- 9171 Roosevelt Blvd Ste I
Philadelphia, PA 19114-2218 - Phone
- (215) 673-1300
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | OEG000911 | PA | Primary |
Addresses
Primary practice location
9171 Roosevelt Blvd Ste I
Philadelphia, PA 19114-2218
Mailing address
2834 Welsh Rd
Philadelphia, PA 19152-2136
Phone (215) 934-6472
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720115504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2834 WELSH RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191522136",
"telephone_number": "215-934-6472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9171 ROOSEVELT BLVD STE I",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191142218",
"telephone_number": "215-673-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JIGNESH",
"middle_name": "BABU",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.