Provider Demographics
NPI:1275131088
Name:PATEL, APEKSHA (OD)
Entity Type:Individual
Prefix:DR
First Name:APEKSHA
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 1:636 MOUNTAIN PINE DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-9616
Mailing Address - Country:US
Mailing Address - Phone:678-814-2470
Mailing Address - Fax:
Practice Address - Street 1:6910 FAYETTEVILLE RD STE 296
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-8286
Practice Address - Country:US
Practice Address - Phone:919-361-9488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT003288152W00000X
NC2648152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist