Basic Information
| Provider Information | |||||||||
| NPI: | 1396913422 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | SHEETAL | ||||||||
| MiddleName: | HASMUKH | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 833 FINLEY RD | ||||||||
| Address2: | |||||||||
| City: | BELLE VERNON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150123816 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8123208526 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 5125 JONESTOWN RD | ||||||||
| Address2: | |||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 171122990 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7174410980 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/11/2008 | ||||||||
| LastUpdateDate: | 02/11/2008 | ||||||||
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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 | OEG002026 | PA | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.