Patel, Hetal A

Patel, Hetal A is an sole proprietor health care provider with primary practice located at 203 Cody Dr , Griffin GA 30223-8780. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Patel, Hetal A can be contacted via phone (267) 257-9265.

Contact Information

Primary practice address
203 Cody Dr Griffin GA 30223-8780
Phone: (267) 257-9265
Fax: (866) 292-1094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 270A00573700 New Jersey
Eye and Vision Services Providers / Vision Therapy 152WV0400X 27T000123400 New Jersey

Profile Details

NPI number 1396727426
LBN Legal business name Patel, Hetal A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396727426 NPPES
New Jersey MEDICAID 0069451

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