Individual provider Active NPI

Bhavita Patel, OD

  • Optometrist
  • Midlothian, VA
National Provider Identifier
1720557101
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002704 Issued in VA
Practice address
13156 Midlothian Tpke
Midlothian, VA 23113-4245
Phone
(804) 378-2303
NPI assigned
Nov 15, 2018
Last updated
Apr 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002704 VA Primary

Addresses

Primary practice location

13156 Midlothian Tpke
Midlothian, VA 23113-4245

Mailing address

13156 Midlothian Tpke
Midlothian, VA 23113-4245
Phone (804) 378-2303

Other practice location 1

109 Wadsworth Dr
North Chesterfield, VA 23236-4521
Phone (804) 272-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20190116000879 VA Practitioner - Optometry 3870839673 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002704VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Solomon Eye Associates PC Optometrist CurrentSince May 1, 2020 Accepting new patients
Lebow Eye Associates, P.C. Optometrist CurrentSince Dec 11, 2018 Accepting new patients
Lebow Eye Associates, P.C. Optometrist CurrentSince Dec 11, 2018 Accepting new patients

Locations

221 E Broadway Ave
Hopewell, VA 23860
Phone (804) 458-5819

13156 Midlothian Tpke
Midlothian, VA 23113
Phone (804) 272-0848

109 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 272-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1720557101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13156 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134245",
            "telephone_number": "804-378-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13156 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134245",
            "telephone_number": "804-378-2303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Wadsworth Dr",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232364521",
            "country_code": "US",
            "telephone_number": "804-272-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHAVITA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.