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SEJAL PATEL O.D.
NPI 1477966224
Optometrist in Athens, GA

Active since June 10, 2014PECOS EnrolledAccepts Medicare Assignment
1620 PRINCE AVE, ATHENS, GA 30606(706) 546-0170(706) 546-5015 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2024, May 21, 2018, May 4, 2018 (3 updates tracked since 2018).

About Sejal Patel O.d. NPPES

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

SEJAL PATEL O.D. (NPI 1477966224) is an individual optometrist in Athens, Georgia, licensed in Georgia (OPT003286) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2014).

NPPES Registry Identity

NPI1477966224
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSEJAL PATELCredential: O.D.
Location Address1620 PRINCE AVEAthens, GA 30606-6008
Mailing Address2232 Talmai DrSnellville, GA 30078-6202 · (618) 214-9145
Phone(706) 546-0170
Fax(706) 546-5015
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2014
Enumeration DateJune 10, 2014
Last NPPES UpdateJune 11, 20243 updates tracked since enumeration
NPPES CertifiedMay 29, 2021
✔ NPI 1477966224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in GA · OPT003286✔ Licensed in IL · 046.010806
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.
1620 PRINCE AVE, Athens, GA 30606
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Sejal 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 ID1557675402
PECOS Enrollment IDI20210407002826
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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 11

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

NORTHEAST GEORGIA PROCEDURE CENTER LLC
Clinic/Center (Ambulatory Surgical)
1620 PRINCE AVE, SUITE B
ATHENS, GA 30606
Clarke County (706) 549-8114
TIRTH J SHAH MD
Ophthalmology
1620 PRINCE AVE
ATHENS, GA 30606
Clarke County (706) 546-0170
BRIAN GONZALEZ R.PH.
Pharmacist
1620 PRINCE AVE
ATHENS, GA 30606
Clarke County (706) 433-0933
DR. STEPHANIE KLEIN LYNCH MD
Ophthalmology
1620 PRINCE AVE
ATHENS, GA 30606
Clarke County (706) 546-0170
DR. REGINALD STROTHER M.D.
Pain Medicine (Interventional Pain Medicine)
1620 PRINCE AVE
ATHENS, GA 30606
Clarke County (706) 549-8114
DR. CHANDLER GERALD THAMES OD
Student in an Organized Health Care Education/Training Program
1620 PRINCE AVE
ATHENS, GA 30606
Clarke County (706) 546-0170
GEORGIA EYE LLC
Ophthalmology
1620 PRINCE AVE
ATHENS, GA 30606
Clarke County (000) 000-0000
EYE SPECIALISTS OF AMERICA, LLC
Clinic/Center (Multi-Specialty)
1620 PRINCE AVE
ATHENS, GA 30606
Clarke County (706) 546-0170

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 Sejal Patel's NPI number?

The NPI number for Sejal Patel is 1477966224. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Sejal Patel located?

Sejal Patel practices at 1620 Prince Ave, Athens, GA 30606. The listed phone number is (706) 546-0170.

What is Sejal Patel's specialty?

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

Is Sejal Patel enrolled in Medicare?

Yes. Sejal 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 Sejal Patel accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 7 other insurers list Sejal 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 Sejal Patel was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.