Active NPI
Tulsi Patel, OD
- Optometrist
- Port Saint Lucie, FL
National Provider Identifier
1750154092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC6361
- Practice address
- 1477 North West Port Saint Lucie West Boulevard
Suite 105
Port Saint Lucie, FL 34986 - Phone
- (772) 446-8715
- NPI assigned
- Oct 30, 2023
- 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 | OPC6361 | FL | Primary |
Addresses
Primary practice location
1477 North West Port Saint Lucie West Boulevard
Suite 105
Port Saint Lucie, FL 34986
Mailing address
5410 NW Milner Dr
Port Saint Lucie, FL 34983-3372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC6361 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Optometry, PA | Current | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients | |
| National Vision Inc | Past | Accepting new patients |
Locations
4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217
Networks
- Freedom Health HMO Network
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.
-
- Corneal and Contact Management Optometrist
- Tampa, FL
- NPI 1083859409
-
- Optician
- Port Saint Lucie, FL
- NPI 1538630330
-
- Eyewear Supplier
- Fort Meyers, FL
- NPI 1477607521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1750154092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 NW MILNER DR",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349833372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1477 NORTH WEST PORT SAINT LUCIE WEST BOULEVARD",
"address_2": "SUITE 105",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "34986",
"telephone_number": "772-446-8715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "TULSI",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-30",
"last_updated": "2023-10-30",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC6361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.