DR. TEJAL S PATEL (NPI# 1134116585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134116585 |
| Entity Type | Individual |
| Full Name | DR. TEJAL S PATEL |
| Credential | O.D. |
| Practice Address |
7715 N Grand Prairie Dr Peoria IL 61615-9243 |
| Mailing Address |
8309 N Knoxville Ave Peoria IL 61615-2170 |
| Practice Telephone | 3096911320 |
| Practice Fax Number | 3096911344 |
| Mailing Telephone | 3096939540 |
| Mailing Fax Number | 3096939542 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2014-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046009810 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 046009810 | 05 | |
| IL | MEDICARE RAILROAD | P00261601 | 01 |
| IL | ILLINOIS DPA LICENSE | 046009810 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245685593 | Tejal Patel | Registered Nurse | 7701 Kilbourn Ave, Skokie, IL 60076-3652 | 2016-04-24 |
| 1740656750 | Tejal Patel | Pharmacist | 41 Richland Ct, Apt A, Clifton, NJ 07012-7314 | 2015-08-12 |
| 1811334824 | Tejal Amin Patel | Acupuncturist | 1328 Rangeton Dr, Walnut, CA 91789-3823 | 2013-05-30 |
| 1598036378 | Tejal R. Patel | Physical Therapy Assistant | 43 Judith Ann Dr., Mt. Prospect, IL 60056-2106 | 2012-01-25 |
| 1790816312 | Tejal A Patel | Pharmacist | 3875 Mundy Mill Rd, Oakwood, GA 30566-3415 | 2007-03-07 |
| 1184638579 | Tejal A Patel | Dentist | 2001 Liberty Place, Sicklerville, NJ 08081 | 2006-07-28 |
| 1215910237 | Tejal Amar Patel | Internal Medicine | 6545 Main Street, Opc21, Houston, TX 77030 | 2005-11-23 |
| 1578109930 | Tejal Patel | Pharmacist | 520 W La Habra Blvd, La Habra, CA 90631-5308 | 2019-11-20 |
| 1760035505 | Tejal Patel | Dentist | 845 S Perryville Rd Unit 127, Rockford, IL 61108-4340 | 2019-07-22 |
| 1629555826 | Tejal Janak Patel I | Physical Therapist | 1050 Mcdonough Rd, Jackson, GA 30233-1599 | 2018-07-20 |
| Street Address |
7715 N GRAND PRAIRIE DR |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-9243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376581611 | Jak Enterprise Inc | Optometrist | 7715 N Grand Prairie Dr, Peoria, IL 61615-9243 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
| 1487175741 | Mark William Wellman | Optometrist | 18431 N 91st Ave Ste 1, Peoria, AZ 85382-0817 | 2017-06-27 |
| 1255674313 | John M. Rinehart, O.d., P.C. | Optometrist | 13260 N 94th Dr Ste 420, Peoria, AZ 85381-4241 | 2013-03-27 |
| 1811272263 | Kevin Michael Ryan | Optometrist | 5201 W War Memorial Dr, Peoria, IL 61615-9222 | 2011-10-17 |
| 1912212960 | Macarius, Max & Daniel, LLC | Optometrist | 2415 W Glen Ave, Peoria, IL 61614-4533 | 2010-08-15 |
| 1922242379 | John P Gysin Od | Optometrist | 5901 N Prospect Rd Ste 11, Peoria, IL 61614-4337 | 2009-04-29 |
| 1912169962 | Timothy G. Cundiff | Optometrist | 4900 N Glen Park Place Rd Ste C, Peoria, IL 61614-4685 | 2008-07-01 |
| 1396883401 | Eye Boutique Inc | Optometrist | 2524 W Farrelly Ave, Peoria, IL 61615-3650 | 2007-02-01 |
| 1316098791 | Jackson Romaine Bennett Jr. | Optometrist | 4530 N Brandywine Dr, Eyeglass World 12, Peoria, IL 61614-5570 | 2007-01-14 |
| 1487713160 | Christopher James Parot | Optometrist | 15256 N.75th Ave., Suite 380, Peoria, AZ 85381 | 2006-12-08 |
| Find all providers in PEORIA | ||||
Please comment or provide details below to improve the information on DR. TEJAL S PATEL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.