| Doctor Name: | DR. SANJAY BIPIN PATEL |
| NPI Number: | 1093763211 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | O.D. |
| License Number: | 1963 |
| Business Practice Address: | 800 W. Williams Street, Suite 164 Apex, NC - 27513 |
| Business Phone Number: | 9193620332 |
| Business Fax Number: | 9193620933 |
| Mailing Address: | 1950 Old Gallows Rd, Suite 520 VIENNA |
| State: | VA |
| Postal Code: | 221823990 |
| Phone Number: | 7038478899 |
| Fax Number: | 7039910514 |
| NPI Enumeration Date: | 05/04/2006 |
| NPI Last Update Date: | 11/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 1963 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |