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SUNDIP R PATEL O.D.
NPI 1255393757
Optometrist in New Braunfels, TX

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
1209 S IH 35, NEW BRAUNFELS, TX 78130(830) 626-3017(830) 626-3019 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sundip R Patel O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNDIP R PATEL O.D. (NPI 1255393757) is an individual optometrist in New Braunfels, Texas, licensed in Texas (6692T) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2003).

NPPES Registry Identity

NPI1255393757
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSUNDIP R PATELCredential: O.D.
Location Address1209 S IH 35New Braunfels, TX 78130-5936
Mailing Address1667 S Ih 35, Suite 101New Braunfels, TX 78130-6851 · (830) 626-3017 · Fax (830) 626-3019
Phone(830) 626-3017
Fax(830) 626-3019
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2003
Enumeration DateApril 3, 2006
Last NPPES UpdateJuly 22, 2016
✔ NPI 1255393757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 6692T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1209 S IH 35, New Braunfels, TX 78130
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Other Identifiers 2

Medicare PIN8F2272TX
Medicare UPINV08352TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sundip R Patel O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224043864
PECOS Enrollment IDI20060217000450
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LONE STAR VISION ASSOCIATES
Optometrist
1209 S IH 35
NEW BRAUNFELS, TX 78130
Guadalupe County (830) 626-3017
LAURA KAY BEST R.PH.
Pharmacist (Ambulatory Care)
1209 S IH 35
NEW BRAUNFELS, TX 78130
Guadalupe County (830) 629-9011
MYRA Y RIVERA PHARMD
Pharmacist
1209 S IH 35
NEW BRAUNFELS, TX 78130
Guadalupe County (830) 629-9011
SONIA MARIE BERNAL
Pharmacist
1209 S IH 35
NEW BRAUNFELS, TX 78130
Guadalupe County (830) 629-9011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sundip Patel's NPI number?

The NPI number for Sundip Patel is 1255393757. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Sundip Patel located?

Sundip Patel practices at 1209 S Ih 35, New Braunfels, TX 78130. The listed phone number is (830) 626-3017.

What is Sundip Patel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Sundip Patel enrolled in Medicare?

Yes. Sundip Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sundip Patel accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Sundip Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sundip Patel was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.