Individual provider Active NPI

Avani Patel, O.D.

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1871825570
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13830 Issued in CA
Practice address
1689 Arden Way
Arden Fair SHP Ctr #1344
Sacramento, CA 95815-4030
Phone
(916) 922-5666
NPI assigned
Feb 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13830 CA Primary

Addresses

Primary practice location

1689 Arden Way
Arden Fair SHP Ctr #1344
Sacramento, CA 95815-4030

Mailing address

5690 Lawler St
Sacramento, CA 95835-1551
Phone (916) 922-1977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221205001503 CA Practitioner - Optometry 4587033162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avani Patel Optometric CorporationGroup PAC ID 1052780632, 12 clinicians

Practice addresses (Care Compare)

4983 N Blackstone Ave
Fresno, CA 93726-0109
Phone (510) 731-7873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Avani Patel Optometric Corporation Optometrist CurrentSince Apr 1, 2018 Accepting new patients

Locations

5345 Sunrise Blvd
Fair Oaks, CA 95628
Phone (916) 966-4700

4983 N Blackstone Ave
Fresno, CA 93726
Phone (510) 731-7873

7825 N Blackstone Ave
Ste 101
Fresno, CA 93720
Phone (559) 500-7685

7825 N Blackstone Ave
Fresno, CA 93720
Phone (510) 457-6300

900 Dana Dr
Ste A5
Redding, CA 96003
Phone (510) 731-7873

8128 Delta Shores Cir S
Sacramento, CA 95832
Phone (510) 457-6300

Organizations & group practices 1

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": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1871825570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 LAWLER ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351551",
            "telephone_number": "916-922-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 ARDEN WAY",
            "address_2": "ARDEN FAIR SHP CTR #1344",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154030",
            "telephone_number": "916-922-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AVANI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.