MEDICARE: DR. SONALI PATEL & ASSOCIATES, INC

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	6398	OH

General Provider Information

NPI Number	:	1942679378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. SONALI PATEL & ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	295 E LONG ST
Second Line	:	APT 107
City	:	COLUMBUS
State	:	OH
Zip	:	43215-3335
Country	:	US
Telephone Number	:	630-267-6844
Fax Number	:

Provider Business Practice Location Address
First Line	:	1279 POLARIS PKWY
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43240-2037
Country	:	US
Telephone Number	:	630-267-6844
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SONALI PATEL
Credential	:	O.D.
Telephone Number	:	630-267-6844

Provider Enumeration Date	:	09/15/2015
Last Update Date	:	09/15/2015

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