Provider Demographics
NPI:1942572185
Name:PATEL, HEMANT KUMAR (OD)
Entity Type:Individual
Prefix:DR
First Name:HEMANT KUMAR
Middle Name:
Last Name:PATEL
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 1:385 SOUTHBRIDGE ST
Mailing Address - Street 2:(LENSCRAFTERS AUBURN MALL)
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-2498
Mailing Address - Country:US
Mailing Address - Phone:508-721-9701
Mailing Address - Fax:
Practice Address - Street 1:385 SOUTHBRIDGE ST
Practice Address - Street 2:(LENSCRAFTERS AUBURN MALL)
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2498
Practice Address - Country:US
Practice Address - Phone:508-721-9701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-03
Last Update Date:2015-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4897152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist