Individual provider Active NPI

Bhaveshkumar Ramesh Patel, O.D.

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1760674147
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7124TG Issued in TX
Practice address
12652 Timberland Blvd Ste 100
Fort Worth, TX 76244-5559
Phone
(817) 431-4100
Fax
(855) 490-5723
NPI assigned
Aug 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7124TG TX Primary
Corneal and Contact Management Optometrist 152WC0802X 7124TG TX

Addresses

Primary practice location

12652 Timberland Blvd Ste 100
Fort Worth, TX 76244-5559

Mailing address

12584 N Beach St
Ste122
Fort Worth, TX 76244-4249
Phone (817) 431-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080229000494 TX Practitioner - Optometry 6709960628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bhavesh Patel OD PLLCGroup PAC ID 6608016738, 2 clinicians

Practice addresses (Care Compare)

12584 N Beach St
Suite 122
Fort Worth, TX 76244-4251
Phone (817) 431-4100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7124TXMDChiropractor
7124TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bhavesh Patel OD PLLC Optometrist CurrentSince Apr 25, 2013 Accepting new patients
Patel Eye Care P a Optometrist PastSince Oct 31, 2007 Accepting new patients
Grace M Salone, OD, PLLC Optometrist Past Accepting new patients

Locations

12584 N Beach St
Ste 122
Fort Worth, TX 76244
Phone (817) 203-2716

12652 Timberland Blvd
Ste 100
Fort Worth, TX 76244

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.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1760674147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12584 N BEACH ST",
            "address_2": "STE122",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444249",
            "telephone_number": "817-431-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12652 TIMBERLAND BLVD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445559",
            "telephone_number": "817-431-4100",
            "fax_number": "855-490-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHAVESHKUMAR",
        "middle_name": "RAMESH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7124TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "7124TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.