Dr. Ronak Mehta, O.D.
Optometrist in Ellicott City, MD. Individual provider (NPI-1).
NPI number1801022686
StatusActive
Last updated in NPPESSep 2, 2010
Details
- NPI
- 1801022686
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ronak Mehta
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2009
- Last updated
- Sep 2, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | TA2156 | MD | Yes |
Practice location
8358 Montgomery Run RdUnit H
Ellicott City, MD 21043-7286
Phone 443-629-1192
Mailing address
8358 Montgomery Run RdUnit H
Ellicott City, MD 21043-7286
Phone 443-629-1192
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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