| Shivam Patel, | |
|
1900 Mason Ave Ste 100, Daytona Beach, FL 32117-5116 | |
| (386) 274-5525 | |
| Not Available |
| Full Name | Shivam Patel |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 8 Years |
| Location | 1900 Mason Ave Ste 100, Daytona Beach, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053829424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC5480 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vision One Inc | 9830197623 | 8 |
| Provider Name | Vision One Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457308322 PECOS PAC ID: 9830197623 Enrollment ID: O20061114000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Shivam Patel, 1920 San Jacinto Cir, Sanford, FL 32771-6387 Ph: (407) 391-3327 | Shivam Patel, 1900 Mason Ave Ste 100, Daytona Beach, FL 32117-5116 Ph: (386) 274-5525 |
Dr. Jalene Haynes, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1900 Mason Ave, Suite 100, Daytona Beach, FL 32117 Phone: 386-274-5525 | |
Shanelle Jenkins, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 551 National Health Care Dr, Daytona Beach, FL 32114 Phone: 386-323-7500 | |
Ronald E Monacelli, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 701 S Ridgewood Ave, Daytona Beach, FL 32114 Phone: 386-253-5999 Fax: 386-258-3973 | |
Leah Wiedemamn, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 716 N Halifax Ave Apt 9, Daytona Beach, FL 32118 Phone: 314-583-0324 | |
Dr. Ian D. Raden, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 551 National Health Care Dr, Eye Clinic, Daytona Beach, FL 32114 Phone: 386-323-7500 | |
Todd Geis, MD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-676-7103 |