Individual provider Active NPI

Puja Patel, OD

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1952955585
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002382 Issued in AZ
Practice address
6422 E Speedway Blvd Ste 100
Tucson, AZ 85710-1151
Phone
(520) 325-9400
Fax
(520) 325-8965
NPI assigned
Jul 31, 2019
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002811 VA
Optometrist 152W00000X 002382 AZ Primary

Addresses

Primary practice location

6422 E Speedway Blvd Ste 100
Tucson, AZ 85710-1151

Mailing address

6422 E Speedway Blvd Ste 100
Tucson, AZ 85710-1151
Phone (520) 325-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200206001296 AZ Practitioner - Optometry 2668806456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
90.32
Improvement activities
40
Cost
79.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002382AZMDOptometrist
0618002811VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornea Associates, PLLC CurrentSince Sep 1, 2020 Accepting new patients
Sean J. McCafferty, MD, PC CurrentSince Sep 1, 2020 Accepting new patients
Mindful Eyecare PLLC Optometrist Current Accepting new patients
Emergency Medical & Surgical Specialists of Colorado LLC Past Accepting new patients

Locations

3974 N Campbell Ave
Tucson, AZ 85719
Phone (520) 325-2651

6422 E Speedway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 325-9400

Organizations & group practices 4

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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1952955585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 E SPEEDWAY BLVD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101151",
            "telephone_number": "520-325-9400",
            "fax_number": "520-325-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 E SPEEDWAY BLVD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101151",
            "telephone_number": "520-325-9400",
            "fax_number": "520-325-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PUJA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002811",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "002382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.