Active NPI
Bhavika Mahesh Patidar, O.D.
- Optometrist
- Manchester, TN
National Provider Identifier
1891075727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3015
- Practice address
- 232 Maple Springs Dr
Manchester, TN 37355-3764 - Phone
- (859) 233-4511
- NPI assigned
- Aug 23, 2011
- 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 | 3015 | TN | Primary |
Addresses
Primary practice location
232 Maple Springs Dr
Manchester, TN 37355-3764
Mailing address
232 Maple Springs Dr
Manchester, TN 37355-3764
Phone (859) 233-4511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3015 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1891075727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 MAPLE SPRINGS DR",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373553764",
"telephone_number": "859-233-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 MAPLE SPRINGS DR",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373553764",
"telephone_number": "859-233-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATIDAR",
"first_name": "BHAVIKA",
"middle_name": "MAHESH",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-23",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.