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Dr. Ayeesha Patel, OD

Optometrist in Kissimmee, FL. Individual provider (NPI-1).

NPI number1962012609
StatusActive
Last updated in NPPESJan 19, 2023

Details

NPI
1962012609
Entity type
Individual (NPI-1)
Name
Dr. Ayeesha Patel
Credential
OD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 7, 2020
Certification date
Jan 19, 2023
Last updated
Jan 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOPC6021FLYes
152W00000X Optometrist009219NY

Practice location

3062 Dyer Blvd
Kissimmee, FL 34741-7839

Phone 407-343-6228

Mailing address

2680 N Orange Ave Apt 1338
Orlando, FL 32804-4733

Phone 407-923-5191

Other practice locations

815 E Tremont Ave
Bronx, NY 10460-4171

Phone 917-891-8800

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