Individual provider Active NPI

Jemi Patel, OD

  • Optometrist
  • Lakewood, WA
National Provider Identifier
1861264392
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61491209 Issued in WA
Practice address
9101 Bridgeport Way SW Ste C
Lakewood, WA 98499-2419
Phone
(253) 584-2020
NPI assigned
Oct 27, 2023
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD61491209 WA Primary

Addresses

Primary practice location

9101 Bridgeport Way SW Ste C
Lakewood, WA 98499-2419

Mailing address

8829 Martin Way E Apt 302
Lacey, WA 98516-6806
Phone (201) 519-2118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250217002885 NJ Practitioner - Optometry 7315394509 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Specialties Support of NJ PCGroup PAC ID 6800309287, 25 clinicians
Lawrenceville Eye Care LLCGroup PAC ID 7113263328, 3 clinicians

Practice addresses (Care Compare)

1100 Centennial Ave
Suite 204
Piscataway, NJ 08854-4152
Phone (732) 313-2570

4 Princess Rd
Suite 202
Lawrenceville, NJ 08648-2322
Phone (609) 219-9000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD61491209WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Specialties Support of NJ PC Optometrist CurrentSince Oct 13, 2025 Accepting new patients
Lawrenceville Eye Care LLC Optometrist CurrentSince Dec 12, 2024 Accepting new patients
Sight Services P.C. Optometrist CurrentSince Jun 4, 2025 Accepting new patients
David Thomas Williams Optometrist PastSince Oct 29, 2023 Accepting new patients

Locations

1155 E Jersey St
Elizabeth, NJ 07201
Phone (732) 987-5122

3333 US Highway 9
Freehold, NJ 07728
Phone (732) 665-6334

2050 6th Ave
Neptune City, NJ 07753
Phone (732) 774-8300

65 Jay St
Newark, NJ 07103
Phone (973) 447-8882

1100 Centennial Ave
Ste 204
Piscataway, NJ 08854
Phone (732) 313-2570

4 Princess Rd
Ste 202
Trenton, NJ 08648
Phone (609) 219-9000

Organizations & group practices 4

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": "1698364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1861264392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8829 MARTIN WAY E APT 302",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166806",
            "telephone_number": "201-519-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 BRIDGEPORT WAY SW STE C",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992419",
            "telephone_number": "253-584-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JEMI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61491209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.