DR. ASHMI PATEL O.D
NPI 1447573738
Optometrist in Montclair, CA

Active since March 01, 2010PECOS EnrolledAccepts Medicare Assignment
5100 E MONTCLAIR PLAZA LN, MONTCLAIR, CA 91763(909) 621-6388 Get Directions Write a Review

NPPES record last updated: February 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ashmi Patel O.d NPPES

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

DR. ASHMI PATEL O.D (NPI 1447573738) is an individual optometrist in Montclair, California, licensed in California (13799) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1447573738
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ASHMI PATELCredential: O.D
Location Address5100 E MONTCLAIR PLAZA LNMontclair, CA 91763-1528
Mailing Address5100 E Montclair Plaza LnMontclair, CA 91763-1528 · (909) 621-6388
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 1, 2010
Last NPPES UpdateFebruary 19, 2015
NPI 1447573738 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 CA · 13799
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.
5100 E MONTCLAIR PLAZA LN, Montclair, CA 91763

Accepted 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

Dr. Ashmi 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 ID2264629179
PECOS Enrollment IDI20201229001767
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
87 services87 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91763 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 2

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

Eye Bank
5100 E MONTCLAIR PLAZA LN
MONTCLAIR, CA 91763
Optometrist (Sports Vision)
5100 E MONTCLAIR PLAZA LN
MONTCLAIR, CA 91763

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 Ashmi Patel's NPI number?

The NPI number for Ashmi Patel is 1447573738. It was assigned to this individual provider in the NPPES registry on March 1, 2010.

Where is Ashmi Patel located?

Ashmi Patel practices at 5100 E Montclair Plaza Ln, Montclair, CA 91763. The listed phone number is (909) 621-6388.

What is Ashmi Patel's specialty?

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

Is Ashmi Patel enrolled in Medicare?

Yes. Ashmi 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 Ashmi Patel accept?

Health plans from Providence Health Plan list Ashmi 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 Ashmi Patel was last updated on February 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.