Provider Demographics
NPI:1073934428
Name:PATEL, JAMEE (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMEE
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 TURNPIKE RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:SOUTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01772-2114
Mailing Address - Country:US
Mailing Address - Phone:508-481-8558
Mailing Address - Fax:
Practice Address - Street 1:205 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-3530
Practice Address - Country:US
Practice Address - Phone:203-845-2020
Practice Address - Fax:203-845-2085
Is Sole Proprietor?:No
Enumeration Date:2014-01-01
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4999152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No152W00000XEye and Vision Services ProvidersOptometrist