Dimple Hasmukh Patel, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002854 Issued in GA

Practice address

460 Cherokee PL
Cartersville, GA 30121-2963

Phone

(678) 535-5180

NPI assigned

Sep 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• National Vision, Inc.

  • Optician
  • Cartersville, GA
  • NPI 1427447531
  NPD (past)

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1992108484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 CHEROKEE PL",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301212963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 CHEROKEE PL",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301212963",
            "telephone_number": "678-535-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DIMPLE",
        "middle_name": "HASMUKH",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002854",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D20-TA-A12",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Melanie Parker
• Lionel David Parker, MS, CADC-II, CCS
• Ronny Pasley, CNIM
• Anuradha Patel, CRNA
• Bhavin B Patel, PHARM D
• Haren D Patel, DDS
• Jetalkumar Patel, PHARMD
• Monal Bharat Patel, DO
• Parin Jayesh Patel, D.M.D
• Purav Patel

• Optometrist in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.