Active NPI
Shreya Patel, OD
- Corneal and Contact Management Optometrist
- Los Angeles, CA
National Provider Identifier
1932880523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- OPT35528
- Practice address
- 2080 Century Park E Ste 911
Los Angeles, CA 90067-2012 - Phone
- (310) 229-1220
- NPI assigned
- Jul 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | OPT35528 | CA | Primary |
Addresses
Primary practice location
2080 Century Park E Ste 911
Los Angeles, CA 90067-2012
Mailing address
244 Kensington Park
Irvine, CA 92606-1901
Phone (949) 573-4001
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT35528 | CA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hansra Optometric Corporation | Current | Accepting new patients | |
| Tedder Optometric Corporation, PC | Single Specialty | Current | Accepting new patients |
Locations
825 E Bidwell St
Ste 100
Folsom, CA 95630
Phone (279) 202-1202
23625 El Toro Rd
Ste E
Lake Forest, CA 92630
Phone (949) 227-2524
1208 Galleria Blvd
Ste 160
Roseville, CA 95678
Phone (279) 214-0170
Organizations & group practices 2
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.
-
- Eyewear Supplier
- Sacramento, CA
- NPI 1366258436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1932880523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 KENSINGTON PARK",
"city": "IRVINE",
"state": "CA",
"postal_code": "926061901",
"telephone_number": "949-573-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CENTURY PARK E STE 911",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900672012",
"telephone_number": "310-229-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHREYA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-27",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "OPT35528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.