Individual provider Active NPI

Paresh A Patel, OD

  • Optometrist
  • Monroe, NC
National Provider Identifier
1780626747
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1739 Issued in NC
Practice address
1007A Skyway Dr
Monroe, NC 28110-3042
Phone
(704) 289-1547
Fax
(704) 291-9441
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1739 NC Primary

Addresses

Primary practice location

1007A Skyway Dr
Monroe, NC 28110-3042

Mailing address

1007A Skyway Dr
Monroe, NC 28110-3042
Phone (704) 289-1547

Other identifiers 2

IdentifierTypeStateIssuer
89093MAMedicaidNC
093MAOtherNCBCBSNC PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050422001117 NC Practitioner - Optometry 7315985975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Practice addresses (Care Compare)

1007 A Skyway Dr
Monroe, NC 28110-3042
Phone (704) 289-1547

819 Tiffany Blvd
Rocky Mount, NC 27804-1812
Phone (252) 972-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Apr 1, 2005 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Apr 1, 2005 Accepting new patients

Locations

6311 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 542-2844

113 Country Club Dr NE
Concord, NC 28025
Phone (704) 786-7600

1007 Skyway Dr
Ste A
Monroe, NC 28110
Phone (704) 289-1547

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

Interoperability endpoints

  • Direct secure messaging: ppatel@direct.eyecare-partners.com

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1780626747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007A SKYWAY DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103042",
            "telephone_number": "704-289-1547",
            "fax_number": "704-291-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007A SKYWAY DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103042",
            "telephone_number": "704-289-1547",
            "fax_number": "704-291-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PARESH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093MA",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PIN",
            "identifier": "093MA",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.