NPIMap

Organization Active NPI

Bhavesh Patel OD PLLC

Doing business as Texas State Optical

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1790027910
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7124TG Issued in TX
Legal business name
BHAVESH PATEL OD PLLC
Doing business as
Texas State Optical
Texas State Optical Keller
Vista Eye Associates
Practice address
12652 Timberland Blvd Ste 100
Fort Worth, TX 76244-5559
Phone
(817) 431-4100
Fax
(855) 490-5723
NPI assigned
Mar 26, 2013
Last updated
Jun 22, 2026By the provider in NPPES
Organization subpart
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

Authorized official

Name
Dr. Bhaveshkumar Patel, O.D.NPI 1760674147
Title
Owner
Phone
(512) 791-9560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 7124TG TX Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 7124TG TX

Addresses

Primary practice location

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

Mailing address

12652 Timberland Blvd Ste 100
Fort Worth, TX 76244-5559
Phone (817) 431-4100

Other names 3

  • Texas State Optical Doing business as
  • Texas State Optical Keller Doing business as
  • Vista Eye Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130712000229 TX Part B Supplier - Clinic/Group Practice 6608016738 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

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

12652 Timberland Blvd
Ste 100
Fort Worth, TX 76244

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1790027910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "BHAVESH PATEL OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHAVESHKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-791-9560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7124TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "7124TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas State Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas State Optical Keller",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vista Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.