MEDICARE: JIGNA PATEL O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	3275	TN
2	152W00000X	Optometrist	5501	FL

General Provider Information

NPI Number	:	1184082281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIGNA PATEL O.D.

Provider Business Mailing Address
First Line	:	4735 OHIO AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33616-1053
Country	:	US
Telephone Number	:	941-730-0243
Fax Number	:

Provider Business Practice Location Address
First Line	:	6951 22ND AVE N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33710-3919
Country	:	US
Telephone Number	:	727-347-1992
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2016
Last Update Date	:	06/15/2025

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Directions to “ JIGNA PATEL O.D.” Practice Location

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