MEDICARE: DR. HIRANGI 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	1924	SC

General Provider Information

NPI Number	:	1669832812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HIRANGI PATEL O.D.

Provider Business Mailing Address
First Line	:	110 FRONTAGE RD
Second Line	:
City	:	AIKEN
State	:	SC
Zip	:	29801-9200
Country	:	US
Telephone Number	:	803-341-7131
Fax Number	:

Provider Business Practice Location Address
First Line	:	4601 FOREST DR STE C
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29206-3122
Country	:	US
Telephone Number	:	803-787-3080
Fax Number	:

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

Provider Enumeration Date	:	03/01/2016
Last Update Date	:	03/01/2016

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