Individual provider Active NPI

Bimal Jayprakash Patel, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1811336548
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8171-T Issued in TX
Practice address
515 Westheimer Rd
Ste a-2
Houston, TX 77006-2931
Phone
(713) 485-6033
Fax
(713) 497-5721
NPI assigned
Jun 15, 2013
Last updated
Apr 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8171-T TX Primary

Addresses

Primary practice location

515 Westheimer Rd
Ste a-2
Houston, TX 77006-2931

Mailing address

1403 Elgin St
Houston, TX 77004-2832
Phone (832) 715-0974

Other identifiers 1

IdentifierTypeStateIssuer
00308VOtherTXGROUP MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20131030000065 TX Practitioner - Optometry 6709011737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

515 Westheimer Rd
Focus Refined Eye Care
Houston, TX 77006-2931
Phone (713) 485-6033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8171-TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bimal Patel LLC Optometrist CurrentSince Feb 21, 2016 Accepting new patients
Mann Eye Center, PA Past Accepting new patients

Locations

515 Westheimer Rd
Houston, TX 77006
Phone (713) 485-6033

515 Westheimer Rd
Ste A2
Houston, TX 77006
Phone (713) 485-6033

600 N Shepherd Dr
Ste 134
Houston, TX 77007
Phone (713) 485-6033

Organizations & group practices 2

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": "1371254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1811336548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 ELGIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770042832",
            "telephone_number": "832-715-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WESTHEIMER RD",
            "address_2": "STE A-2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062931",
            "telephone_number": "713-485-6033",
            "fax_number": "713-497-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BIMAL",
        "middle_name": "JAYPRAKASH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-15",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8171-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "00308V",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.