MEDICARE: DR. NITIN K 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	4696T	TX

General Provider Information

NPI Number	:	1629112834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NITIN K PATEL O.D.

Provider Business Mailing Address
First Line	:	2755 VALLEY VIEW LN
Second Line	:	SUITE 100
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234-4972
Country	:	US
Telephone Number	:	972-991-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	2755 VALLEY VIEW LN STE 100
Second Line	:
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234-4968
Country	:	US
Telephone Number	:	972-991-2020
Fax Number	:

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

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	01/19/2026

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