Active NPI
Bhavisha Pravin Patel
- Optometrist
- Peachtree City, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003052
- Practice address
- 100 N Peachtree Pkwy Ste 1
Peachtree City, GA 30269-1744 - Phone
- (770) 487-8900
- NPI assigned
- Aug 13, 2017
- Last updated
- Feb 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT003052 | GA | Primary |
Addresses
Primary practice location
100 N Peachtree Pkwy Ste 1
Peachtree City, GA 30269-1744
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Peachtree St NE
Atlanta, GA 30308-1207
Phone (678) 732-3432
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Ptcec PC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Past | Accepting new patients |
Locations
800 Peachtree St NE
Atlanta, GA 30308
Phone (404) 377-3937
800 Peachtree St NE
Ste E1
Atlanta, GA 30308
Phone (678) 732-3432
860 Peachtree St NE
Ste F
Atlanta, GA 30308
Phone (404) 853-5008
4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010
6555 Sugarloaf Pkwy
Ste 305
Duluth, GA 30097
Phone (773) 495-0937
1044 Avalon Pkwy
McDonough, GA 30253
Phone (770) 898-7078
100 N Peachtree Pkwy
Ste 1
Peachtree Cty, GA 30269
Phone (770) 487-8900
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 5
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": "1502582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1871018622",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N PEACHTREE PKWY STE 1",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691744",
"telephone_number": "770-487-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "BHAVISHA",
"middle_name": "PRAVIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-13",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.