Priti Panchal, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4522 Issued in FL

Practice address

148 13TH St SW
Largo, FL 33770-3127

Phone

(727) 581-8706

NPI assigned

Aug 24, 2010

Last updated

May 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Eye Physicians of Pinellas, PAGroup PAC ID 5092629071, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ppanchal@directaddress.net

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.

• The Eye Physicians of Pinellas, PA

  dba Lakeland Eye Clinic

  • Ophthalmology Physician
  • Largo, FL
  • NPI 1114925153

  Optometrist

  Medicare reassignment Care Compare group NPD
• Gregory L Henderson MD Facs Inc

  dba Florida Eye Specialists and Cataract Institute

  • Ophthalmology Physician
  • Brandon, FL
  • NPI 1306839725

  Optometrist

  Medicare reassignment NPD
• Gregory L Henderson MD Facs Inc

  • Optometrist
  • Tampa, FL
  • NPI 1932434891
  NPD
• Gregory L Henderson MD Facs Inc

  • Ophthalmology Physician
  • Tampa, FL
  • NPI 1952139347

  Optometrist

  NPD
• The Eye Physicians of Pinellas, PA

  dba Lakeland Eye Clinic

  • Durable Medical Equipment & Medical Supplies
  • Lakeland, FL
  • NPI 1790488013
  NPD
• The Eye Physicians of Pinellas, PA

  dba Largo Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Largo, FL
  • NPI 1366710741
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1912213240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 13TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703127",
            "telephone_number": "727-581-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 13TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703127",
            "telephone_number": "727-581-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "PRITI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002794700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Palmer
• Collette Palmisano, ARNP
• Karen Jessica Palomino, APRN
• Chris Panagos, PHARMACIST
• Bhavika Panchal
• Vipul Pandya, M.D.
• Constantina Pantazes
• William Nicholas Pantazes, DMD
• Carl Thomas Panzarella, DDS
• Maryfrances Papadakis, LMHC

• Optometrist in Largo, FL
• Providers in Largo, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.

Verify at the official NPI Registry.