Purva Patel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002896 Issued in PA

Practice address

151 S Bishop Ave
B25
Secane, PA 19018-1971

Phone

(267) 760-7172

NPI assigned

May 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

New England College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Pennsylvania Professional Inc 80 clinicians

Sisson - Boyer Eyecare, LLC 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aeg Pennsylvania Professional Inc

  • Optometrist
  • Pittsburgh, PA
  • NPI 1851958854
  Medicare reassignment Care Compare group NPD
• Sisson - Boyer Eyecare, LLC

  • Optometrist
  • Newport, PA
  • NPI 1376877704
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1831501550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S BISHOP AVE",
            "address_2": "B25",
            "city": "SECANE",
            "state": "PA",
            "postal_code": "190181971",
            "telephone_number": "267-760-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S BISHOP AVE",
            "address_2": "B25",
            "city": "SECANE",
            "state": "PA",
            "postal_code": "190181971",
            "telephone_number": "267-760-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PURVA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ansu Siryon Molley
• Amanda Carroll Montgomery, M.A., CCC-SLP
• Cosmo Joseph Nylander, DNP
• Pally Hands Homecare LLC
• Carrie Parker, MA, BCBA, NY-LBA
• Daria R Patterson
• Shakeelah Patterson, CRNP
• Pennsylvania CVS Pharmacy, L.L.C.
• Donov Pointer, RBT
• Positive Aspired Learning

• All providers in Secane, PA
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.

Verify at the official NPI Registry.