Individual
TEJAL PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
007370
NY
152W00000X
Optometrist
21329-875
WI
152W00000X
Optometrist
7795-TG
TX
152W00000X
Optometrist
I3-0001395
DE
152W00000X
Optometrist
Primary
OEG003275
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03064124
—
NY
Enumeration date
11/07/2008
Last updated
09/15/2022
Update your record
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