# MONA PATEL, OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407926496
- **Authorized official:** DR. MONA PATEL OD (SOLE OWNER)
- **Authorized official phone:** (484) 432-0161

## Contact information

- **Practice address:** 1201 W. P. BALL BLVD., TARGET OPTICAL, SANFORD, FL 32771
- **Practice address phone:** (407) 547-0010
- **Mailing address:** 1812 MARLEY PL, LONGWOOD, FL 32750-3786
- **Mailing address phone:** (484) 432-0161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4046 | FL | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 10/02/2007