Healthcare Provider Details

I. General information

NPI: 1184542094
Provider Name (Legal Business Name): JANVI PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9002 N MERIDIAN ST STE 100
INDIANAPOLIS IN
46260-2301
US

IV. Provider business mailing address

2810 DURSILLAS DR
PLAINFIELD IN
46168-7805
US

V. Phone/Fax

Practice location:
  • Phone: 317-844-5530
  • Fax:
Mailing address:
  • Phone: 317-362-3591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number18004680
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: