Active NPI
Gopita Patel, O.D
- Optometrist
- Daytona Beach, FL
National Provider Identifier
1891167433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5118
- Practice address
- 551 National Health Care Dr
Daytona Beach, FL 32114-1495 - Phone
- (386) 323-7500
- NPI assigned
- Oct 22, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG003121 | PA | |
| Optometrist | 152W00000X | OPC5118 | FL | Primary |
Addresses
Primary practice location
551 National Health Care Dr
Daytona Beach, FL 32114-1495
Mailing address
1530 Crowne Ormond LN Apt 528
Ormond Beach, FL 32174-0647
Phone (407) 637-4020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drgpatel@magrudereye.imwdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC5118 | FL | MD | Optometrist |
| OEG003121 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond 2020 Vision Specialists LLC | Optometrist | Current | Accepting new patients |
Locations
16230 State Road 54
Odessa, FL 33556
Phone (813) 475-5599
Interoperability endpoints
- drgpatel@magrudereye.imwdirect.com
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.
-
- Optometrist
- Tampa, FL
- NPI 1003561283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1891167433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 CROWNE ORMOND LN APT 528",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321740647",
"telephone_number": "407-637-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 NATIONAL HEALTH CARE DR",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321141495",
"telephone_number": "386-323-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "GOPITA",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-22",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG003121",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5118",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drgpatel@magrudereye.imwdirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR",
"address_1": "1911 N Mills Ave",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328031407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.