Organization Active NPI

Nitin K. Patel, O.D., P.a.

Doing business as Texas State optical

  • Optometrist
  • Farmers Branch, TX
National Provider Identifier
1720315633
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4696T Issued in TX
Legal business name
NITIN K. PATEL, O.D., P.A.
Doing business as
Texas State optical
Practice address
2755 Valley View LN
Suite 100
Farmers Branch, TX 75234-4972
Phone
(972) 991-2020
Fax
(972) 392-1781
NPI assigned
Nov 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Authorized official

Name
Nitin K. Patel, O.D.NPI 1629112834
Title
Optometrist/ Pres
Phone
(972) 365-0874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4696T TX Primary

Addresses

Primary practice location

2755 Valley View LN
Suite 100
Farmers Branch, TX 75234-4972

Mailing address

2755 Valley View LN
Suite 100
Farmers Branch, TX 75234-4972
Phone (972) 991-2020

Other names 1

  • Texas State optical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100810000106 TX Part B Supplier - Clinic/Group Practice 5991838187 Receives reassigned benefits from 1 practitioner
Practice locations: Farmers Branch, TX

National Provider Directory

National Provider Directory

Locations

2755 Valley View Ln
Farmers Branch, TX 75234

2755 Valley View Ln
Ste 100
Farmers Brnch, TX 75234
Phone (972) 991-2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1720315633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 VALLEY VIEW LN",
            "address_2": "SUITE 100",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752344972",
            "telephone_number": "972-991-2020",
            "fax_number": "972-392-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 VALLEY VIEW LN",
            "address_2": "SUITE 100",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752344972",
            "telephone_number": "972-991-2020",
            "fax_number": "972-392-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITIN K. PATEL, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-13",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NITIN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OPTOMETRIST/ PRES",
        "authorized_official_telephone_number": "972-365-0874",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4696T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas State optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.