Individual provider Active NPI

Kinnari K Patel, OD

  • Optometrist
  • Clarksburg, NJ
National Provider Identifier
1851341382
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00599700 Issued in NJ
Practice address
498 Monmouth Rd
Suite 2
Clarksburg, NJ 08510-1219
Phone
(609) 259-2221
Fax
(609) 259-2291
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00599700 NJ Primary

Addresses

Primary practice location

498 Monmouth Rd
Suite 2
Clarksburg, NJ 08510-1219

Mailing address

498 Monmouth Rd
Suite 2
Clarksburg, NJ 08510-1219
Phone (609) 259-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060530000239 NJ Practitioner - Optometry 7911918214 Reassigns benefits to 1 organization
I20231201000628 PA Practitioner - Optometry 7911918214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Eye Center, P.C.Group PAC ID 3072593508, 51 clinicians

Practice addresses (Care Compare)

9126 Blue Grass Rd
Philadelphia, PA 19114-3202
Phone (215) 552-8331

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
95.9
Promoting interoperability
100
Improvement activities
40
Cost
75.81

Merit-based Incentive Payment System (MIPS)

Final score
82.68 of 100Reported as group
Quality
86.54
Promoting interoperability
94
Improvement activities
40
Cost
60.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00599700NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Eye Center, P.C. Optometrist CurrentSince Nov 1, 2023 Accepting new patients
Invision Eyecare Specialists Optometrist CurrentSince Apr 1, 2019 Accepting new patients
Advanced Eyecare of Millstone Optometrist PastSince Jul 27, 2007 Accepting new patients

Locations

1 State Route 70
Lakewood, NJ 08701
Phone (732) 905-5600

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

400 N 17th St
Ste 101
Allentown, PA 18104
Phone (215) 433-0450

1616 W Allen St
Allentown, PA 18102
Phone (610) 432-0201

9126 Blue Grass Rd
Philadelphia, PA 19114
Phone (215) 330-0050

Interoperability endpoints

  • Direct secure messaging: kinnari.patel.p10@direct.ocli.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1851341382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 MONMOUTH RD",
            "address_2": "SUITE 2",
            "city": "CLARKSBURG",
            "state": "NJ",
            "postal_code": "085101219",
            "telephone_number": "609-259-2221",
            "fax_number": "609-259-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 MONMOUTH RD",
            "address_2": "SUITE 2",
            "city": "CLARKSBURG",
            "state": "NJ",
            "postal_code": "085101219",
            "telephone_number": "609-259-2221",
            "fax_number": "609-259-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KINNARI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00599700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, NJ

Sources for this page

Verify at the official NPI Registry.