DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SHRUTI PATEL

MEDICARE: SHRUTI PATEL
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
1152W00000XOptometrist2015-961ATLA

General Provider Information

NPI Number : 1417402439
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHRUTI PATEL
Provider Business Mailing Address
First Line : 2308 S BURNSIDE AVE
Second Line :
City : GONZALES
State : LA
Zip : 70737-4643
Country : US
Telephone Number : 225-644-7525
Fax Number : 225-647-3710
Provider Business Practice Location Address
First Line : 2308 S BURNSIDE AVE
Second Line :
City : GONZALES
State : LA
Zip : 70737-4643
Country : US
Telephone Number : 225-644-7525
Fax Number : 225-647-3710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2016
Last Update Date : 02/27/2026

Similar Medicare Providers

1699770404 — DR. VINCENT OSCAR RACHAL OD
Practice Location Address:
2308 S BURNSIDE AVE
GONZALES, LA
70737-4643
Practice Phone: 225-644-7525
Practice Fax: 225-647-3710
1437155793 — DR. EDWIN FRANK ADAMS III OD
Practice Location Address:
2308 S BURNSIDE AVE
GONZALES, LA
70737-4643
Practice Phone: 225-644-7525
Practice Fax: 225-647-3710
1699812909 — WILLIAMSON EYE CENTER
Practice Location Address:
2308 S BURNSIDE AVE
GONZALES, LA
70737-4643
Practice Phone: 225-644-7525
Practice Fax: 225-647-3710
1790940096 — DR. CORY JAMES BOUDREAUX O.D.
Practice Location Address:
2308 S BURNSIDE AVE
GONZALES, LA
70737-4643
Practice Phone: 225-644-7525
Practice Fax: 225-647-3710
1730444704 — DR. LAWRENCE HOANG PHAM O.D.
Practice Location Address:
2308 S BURNSIDE AVE
GONZALES, LA
70737-4643
Practice Phone: 225-664-7525
Practice Fax: 225-647-3710
1295340370 — MATTHEW NEIL BARNES OD
Practice Location Address:
2308 S BURNSIDE AVE
GONZALES, LA
70737-4643
Practice Phone: 225-664-7525
Practice Fax: 225-647-3710

Directions to “ SHRUTI PATEL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.