Individual provider Active NPI

Ravisa Patel, O.D.

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1750774519
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003894A Issued in IN
Practice address
7035 E 96TH St Ste L
Indianapolis, IN 46250-3303
Phone
(317) 842-5000
NPI assigned
Mar 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003894A IN Primary

Addresses

Primary practice location

7035 E 96TH St Ste L
Indianapolis, IN 46250-3303

Mailing address

7035 E 96TH St Ste L
Indianapolis, IN 46250-3303

Other practice location 1

1481 W 10th St
Indianapolis, IN 46202-2803
Phone (317) 988-2563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240131003968 IN Practitioner - Optometry 0446603922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Optical Co IncGroup PAC ID 5597668574, 49 clinicians

Practice addresses (Care Compare)

7035 E 96TH St L
Dr Tavel Family Eye Care
Indianapolis, IN 46250-3303
Phone (317) 840-5000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
City Optical Co., Inc. Optometrist CurrentSince Jan 30, 2024 Accepting new patients
City Optical Co., Inc. Optometrist Current Accepting new patients
City Optical Co., Inc. Optometrist CurrentSince Jan 30, 2024 Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients

Locations

12676 E 116th St
Fishers, IN 46037
Phone (317) 785-5034

8725 US 31
Indianapolis, IN 46227
Phone (317) 881-6708

2839 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 924-1300

7035 E 96th St
Ste L
Indianapolis, IN 46250
Phone (317) 840-5000

7035 E 96th St
Indianapolis, IN 46250
Phone (317) 842-5000

2835 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 924-1300

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1750774519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 E 96TH ST STE L",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462503303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 E 96TH ST STE L",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462503303",
            "telephone_number": "317-842-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1481 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462022803",
            "country_code": "US",
            "telephone_number": "317-988-2563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAVISA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003894A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.