# MONA PATEL OD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bayhead Eye Centre, OD.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891853958
- **Authorized official:** DR. MONA PATEL OD (OWNER PRESIDENT)
- **Authorized official phone:** (407) 322-2230

## Contact information

- **Practice address:** 820 W LAKE MARY BLVD STE 104, SANFORD, FL 32773-5946
- **Practice address phone:** (407) 322-2230
- **Practice address fax:** (407) 330-6287
- **Mailing address:** 820 W LAKE MARY BLVD STE 104, SANFORD, FL 32773-5946
- **Mailing address phone:** (407) 322-2230
- **Mailing address fax:** (407) 330-6287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 4046 | FL | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 03/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 111721000 | — | FL |