Individual provider Active NPI

Jigna Dilipkumar Patel, OD

  • Optometrist
  • Clayton, NC
National Provider Identifier
1801144753
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2298 Issued in NC
Practice address
11761 US 70 Business Hwy W Ste 25
Clayton, NC 27520-2274
Phone
(919) 553-5600
Fax
(919) 879-2684
NPI assigned
Aug 27, 2012
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2298 NC Primary

Addresses

Primary practice location

11761 US 70 Business Hwy W Ste 25
Clayton, NC 27520-2274

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other identifiers 1

IdentifierTypeStateIssuer
175KROtherBCBS

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
I20121113000683 NC Practitioner - Optometry 8628229978 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11761 Clayton Blvd
Clayton, NC 27520-2274
Phone (919) 553-5600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2298NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
The Eye Center, Doctors of Optometry, P.a. Optometrist CurrentSince Mar 20, 2015 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Mar 7, 2022 Accepting new patients
Clark Optometric Center PA Optometrist CurrentSince Nov 1, 2019 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Mar 7, 2022 Accepting new patients
Eye Care Associates OD PA Optometrist Past Accepting new patients
Myeyedr Optometry of North Carolina Optometrist Past Accepting new patients
Eye Care Associates OD PA Optometrist Past Accepting new patients
Aberdeen Eye Care Associates, OD PLLC Optometrist PastSince Jan 2, 2008 Accepting new patients

Locations

1105 Walnut St
Ste J124
Cary, NC 27511
Phone (919) 460-9074

1975 High House Rd
Cary, NC 27519
Phone (919) 461-0771

2042 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 851-0093

3460 Ten Ten Rd
Ste 112
Cary, NC 27518
Phone (919) 367-5555

1201 Raleigh Rd
Ste E
Chapel Hill, NC 27517
Phone (919) 851-0093

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

11761 US Highway 70 Bus W
Clayton, NC 27520
Phone (919) 533-5600

11761 US Highway 70 Bus W
Ste 25
Clayton, NC 27520
Phone (919) 553-5600

2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020

6910 Fayetteville Rd
Ste 296
Durham, NC 27713
Phone (919) 361-9488

302 Cross CRK Mall
Fayetteville, NC 28303
Phone (910) 867-4466

1003 Vandora Springs Rd
Garner, NC 27529
Phone (919) 772-4575

7075 White Oak Rd
Garner, NC 27529
Phone (919) 861-9177

1001 Widewaters Pkwy
Ste A
Knightdale, NC 27545
Phone (919) 863-2020

200 Perimeter Park Dr
Ste D
Morrisville, NC 27560
Phone (910) 893-4141

6566 Glenwood Ave
Raleigh, NC 27612
Phone (919) 783-0011

7020 Six Forks Rd
Raleigh, NC 27615
Phone (919) 847-5957

1829 Doctors Dr
Sanford, NC 27330
Phone (919) 776-2032

6825 Parker Farm Dr
Wilmington, NC 28405
Phone (910) 452-0554

178 Wakelon St
Zebulon, NC 27597
Phone (919) 269-6032

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 9

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": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1801144753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11761 US 70 BUSINESS HWY W STE 25",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202274",
            "telephone_number": "919-553-5600",
            "fax_number": "919-879-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JIGNA",
        "middle_name": "DILIPKUMAR",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "175KR",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.