Healthcare Provider Details

I. General information

NPI: 1023926581
Provider Name (Legal Business Name): AESHABEN PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MOUNT VERNON HWY NE
SANDY SPRINGS GA
30328-4295
US

IV. Provider business mailing address

800 MOUNT VERNON HWY NE
SANDY SPRINGS GA
30328-4295
US

V. Phone/Fax

Practice location:
  • Phone: 404-256-1125
  • Fax:
Mailing address:
  • Phone: 404-256-1125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT003773
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: