Basic Information
| Provider Information | |||||||||
| NPI: | 1073934428 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | JAMEE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 30 TURNPIKE RD | ||||||||
| Address2: | SUITE 7 | ||||||||
| City: | SOUTHBOROUGH | ||||||||
| State: | MA | ||||||||
| PostalCode: | 017722114 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5084818558 | ||||||||
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| Practice Location | |||||||||
| Address1: | 205 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | NORWALK | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068513530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2038452020 | ||||||||
| FaxNumber: | 2038452085 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/01/2014 | ||||||||
| LastUpdateDate: | 01/24/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 4999 | MA | N | Eye and Vision Services Providers | Optometrist |
No ID Information.