Healthcare Provider Details

I. General information

NPI: 1538082433
Provider Name (Legal Business Name): TULSI PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 FARWELL RD
TYNGSBORO MA
01879-1007
US

IV. Provider business mailing address

31 FARWELL RD
TYNGSBORO MA
01879-1007
US

V. Phone/Fax

Practice location:
  • Phone: 978-614-5351
  • Fax:
Mailing address:
  • Phone: 978-614-5351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberNA
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: