Provider Demographics
NPI:1801020755
Name:ALI OD AND PATEL OD PROFESSIONAL OPTOMETRIC CORPORATION
Entity type:Organization
Organization Name:ALI OD AND PATEL OD PROFESSIONAL OPTOMETRIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:ASIF
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:805-925-1092
Mailing Address - Street 1:1700 S BRADLEY RD
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-8001
Mailing Address - Country:US
Mailing Address - Phone:805-925-1092
Mailing Address - Fax:805-925-4664
Practice Address - Street 1:1700 S BRADLEY RD
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-8001
Practice Address - Country:US
Practice Address - Phone:805-925-1092
Practice Address - Fax:805-925-4664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-06
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty