Active NPI
Vixitkumar Patel, OD
- Optometrist
- Buford, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003019
- Practice address
- 3264 Buford Dr Ste 100a
Buford, GA 30519-8743 - Phone
- (678) 395-2020
- NPI assigned
- Jun 22, 2017
- Last updated
- Sep 10, 2019
- Sex
- Male
- 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 | OPT003019 | GA | Primary |
Addresses
Primary practice location
3264 Buford Dr Ste 100a
Buford, GA 30519-8743
Mailing address
300B Sterling CT
Statesboro, GA 30458-9026
Phone (912) 656-9264
Other practice location 1
324 Newnan Crossing Byp
Newnan, GA 30265-1082
Phone (678) 423-3927
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
- New England College of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
85 Old Farm Rd
Suite 110
Jefferson, GA 30549-2965
Phone (706) 203-5777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003019 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sai Eye Care LLC | Optometrist | Current | Accepting new patients |
| Mark Lynn OD & Associates, PC | Optometrist | Current | Accepting new patients |
| Mark Lynn O.D. & Associates, PC | Current | Accepting new patients |
Locations
85 Old Farm Rd
Ste 110
Jefferson, GA 30549
Phone (706) 203-5777
2929 Turner Hill Rd
Ste 2625
Lithonia, GA 30038
Phone (770) 482-5050
324 Newnan Crossing Byp
Newnan, GA 30265
Phone (678) 423-3927
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": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1790205672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300B STERLING CT",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304589026",
"telephone_number": "912-656-9264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3264 BUFORD DR STE 100A",
"city": "BUFORD",
"state": "GA",
"postal_code": "305198743",
"telephone_number": "678-395-2020"
}
],
"practiceLocations": [
{
"address_1": "324 Newnan Crossing Byp",
"address_purpose": "LOCATION",
"city": "Newnan",
"state": "GA",
"postal_code": "302651082",
"country_code": "US",
"telephone_number": "678-423-3927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "VIXITKUMAR",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-22",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.