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General NPI Number Information
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NPI Number | 1790036325
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Entity Type | Individual
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Provider Name | BINAL PATEL O.D.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2012
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 3140 CITRUS TOWER BLVD STE A
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City | CLERMONT
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State | FL
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Zip | 34711-6888
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Country | US
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Telephone | 352-243-2121
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Fax | 352-243-2140
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Provider Business Mailing Address
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Address Line | 1950 OLD GALLOWS RD STE 520
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City | VIENNA
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State | VA
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Zip | 22182-3970
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Country | US
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Telephone | 703-847-8899
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Fax | 571-223-6780
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG002695
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC4721
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License Number State | FL
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