Individual
SONAM K. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
180 W GIRARD AVE STE 5, PHILADELPHIA, PA 19123-1660
(215) 554-6222
(215) 554-6200
Mailing address
180 W GIRARD AVE STE 5, PHILADELPHIA, PA 19123-1660
(215) 554-6222
(215) 554-6200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00690600
NJ
152W00000X
Optometrist
Primary
OEG003737
PA
156F00000X
Technician/Technologist
27OM00158200
NJ
Other
Enumeration date
09/19/2019
Last updated
09/29/2021
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