Provider Demographics
NPI:1902007131
Name:PRAJAPATI, HITEN P (OD)
Entity Type:Individual
Prefix:DR
First Name:HITEN
Middle Name:P
Last Name:PRAJAPATI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 VILLAGE MARKET PL
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7508
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1101 SHILOH GLENN DR
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-5419
Practice Address - Country:US
Practice Address - Phone:919-830-6385
Practice Address - Fax:919-861-4498
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1964152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCMP1148356OtherDEA NUMBER