Individual
DR. SANJAY BIPIN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
800 W. WILLIAMS STREET, SUITE 164, APEX, NC 27513
(919) 362-0332
(919) 362-0933
Mailing address
1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 22182-3990
(703) 847-8899
(703) 991-0514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1963
NC
152WC0802X
Corneal and Contact Management Optometrist
1963
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093T3
BCBS OF NC
NC
05
—
5902150
—
NC
Enumeration date
05/04/2006
Last updated
11/09/2017
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