Active NPI
Mital Patel, O.D.
- Optometrist
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002478
- Practice address
- 3535 Roswell Rd Ste 8
Marietta, GA 30062-8827 - Phone
- (678) 560-8065
- NPI assigned
- Sep 14, 2009
- Last updated
- May 3, 2016
- 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 | OPT002478 | GA | Primary |
Addresses
Primary practice location
3535 Roswell Rd Ste 8
Marietta, GA 30062-8827
Mailing address
3535 Roswell Rd Ste 8
Marietta, GA 30062-8827
Phone (678) 560-8065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1615 Ridenour Blvd NW
Suite 201
Kennesaw, GA 30152-4464
Phone (770) 499-2020
3535 Roswell Rd
Suite 8
Marietta, GA 30062-8827
Phone (678) 560-8065
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT002478 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimist LLC | Optometrist | Current | Accepting new patients |
| Map Eyes LLC | Optometrist | Current | Accepting new patients |
| Eecarman OD PC | Optometrist | Past | Accepting new patients |
Locations
1615 Ridenour Blvd NW
Ste 201
Kennesaw, GA 30152
Phone (770) 499-2020
3535 Roswell Rd
Ste 8
Marietta, GA 30062
Phone (678) 560-8065
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": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1760715361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 ROSWELL RD STE 8",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300628827",
"telephone_number": "678-560-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 ROSWELL RD STE 8",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300628827",
"telephone_number": "678-560-8065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MITAL",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-14",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.