Provider Demographics
NPI:1841031788
Name:PATEL, ROHIL DHARMENDRA (OD)
Entity type:Individual
Prefix:DR
First Name:ROHIL
Middle Name:DHARMENDRA
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 1:601 W JOCEDAN CT
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47404-9288
Mailing Address - Country:US
Mailing Address - Phone:812-361-2810
Mailing Address - Fax:
Practice Address - Street 1:557 PIT RD
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-7831
Practice Address - Country:US
Practice Address - Phone:317-858-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-04
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18004496A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist