Provider Demographics
NPI:1841298973
Name:PATEL, DIPAK T (OD)
Entity type:Individual
Prefix:DR
First Name:DIPAK
Middle Name:T
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 1:2930 PRESTON RD
Mailing Address - Street 2:SUITE 905
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9053
Mailing Address - Country:US
Mailing Address - Phone:972-334-9095
Mailing Address - Fax:972-334-0614
Practice Address - Street 1:2930 PRESTON RD
Practice Address - Street 2:SUITE 905
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9053
Practice Address - Country:US
Practice Address - Phone:972-334-9095
Practice Address - Fax:972-334-0614
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-12
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5944T152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
00202PMedicare ID - Type Unspecified
U85173Medicare UPIN