Provider Demographics
NPI:1275970964
Name:SMIT A. PATEL, O.D., A.P.O.C.
Entity Type:Organization
Organization Name:SMIT A. PATEL, O.D., A.P.O.C.
Other - Org Name:EAST COUNTY FAMILY OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SMIT
Authorized Official - Middle Name:A
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:619-442-6686
Mailing Address - Street 1:1071 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-4804
Mailing Address - Country:US
Mailing Address - Phone:619-442-6686
Mailing Address - Fax:619-442-8023
Practice Address - Street 1:1071 BROADWAY
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-4804
Practice Address - Country:US
Practice Address - Phone:619-442-6686
Practice Address - Fax:619-442-8023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13274 TPG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty