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
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Lynn O.D. & Associates, PC | Current | Accepting new patients | |
| Sai Eye Care LLC | Optometrist | Current | Accepting new patients |
| Mark Lynn OD & Associates, PC | Optometrist | 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 and National Provider Directory roles.
-
- Optometrist
- Jefferson, GA
- NPI 1326804394
-
- Optometrist
- Lithonia, GA
- NPI 1417055203
-
- Eyewear Supplier
- Savannah, GA
- NPI 1518375500
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.