Individual provider Active NPI

Kirtesh Patel, OD

  • Optometrist
  • Garland, TX
National Provider Identifier
1902836547
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
07022TG Issued in TX
Practice address
5150 N Garland Ave
Garland, TX 75040-2711
Phone
(214) 703-0898
Fax
(214) 703-0898
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001524 PA
Optometrist 152W00000X 07022TG TX Primary

Addresses

Primary practice location

5150 N Garland Ave
Garland, TX 75040-2711

Mailing address

7926 Bishop Rd
Plano, TX 75024-4016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090323000293 TX Practitioner - Optometry 1456360700 Practice locations: Frisco, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07022TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
On Site Health Services PC Optometrist PastSince Aug 6, 2001 Accepting new patients
T Thieu OD LLC Optometrist PastSince Nov 18, 2011 Accepting new patients
Ophthalmology Consulting Services, PC Past Accepting new patients

Organizations & group practices 3

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1902836547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7926 BISHOP RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244016",
            "fax_number": "214-703-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 N GARLAND AVE",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402711",
            "telephone_number": "214-703-0898",
            "fax_number": "214-703-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KIRTESH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001524",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "07022TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.