Organization
PATEL OPTOMETRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAMESH PATEL OD (OWNER)
(480) 242-3988
Entity
Organization
Contact information
Practice address
5715 N 19TH AVE, PHOENIX, AZ 85015-2433
(602) 864-5540
(602) 864-5596
Mailing address
4507 E HAMBLIN DR, PHOENIX, AZ 85050-6912
(480) 242-3988
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EM111038
EYEMED
AZ
Enumeration date
06/01/2021
Last updated
06/14/2021
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