Kavita Patel, OD
Optometrist in Peoria, IL. Individual provider (NPI-1).
NPI number1962022384
StatusActive
Last updated in NPPESAug 13, 2020
Details
- NPI
- 1962022384
- Entity type
- Individual (NPI-1)
- Name
- Kavita Patel
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2020
- Certification date
- Aug 13, 2020
- Last updated
- Aug 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 046011463 | IL | Yes |
Practice location
8309 N Knoxville Ave Ste 1Peoria, IL 61615-2171
Phone 309-713-3664
Mailing address
8309 N Knoxville AvePeoria, IL 61615-2170
Phone 309-693-9540 · Fax 309-306-9001
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All 56 Optometrist providers in Peoria · All 5,546 providers in Peoria
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