MS. SONALI PATEL O.D.
NPI 1619380755
Optometrist in Jackson, WI

Q: What is Sonali Patel's NPI number?

The NPI number for Sonali Patel is 1619380755. It was assigned to this individual provider in the NPPES registry on June 6, 2014.

Q: What is Sonali Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sonali Patel was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 06, 2014PECOS EnrolledAccepts Medicare Assignment

W225N16711 CEDAR PARK CT, JACKSON, WI 53037(262) 677-1101(262) 677-0121 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 10, 2020, Nov 13, 2017 (2 updates tracked since 2017).

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About Ms. Sonali Patel O.d. NPPES

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

MS. SONALI PATEL O.D. (NPI 1619380755) is an individual optometrist in Jackson, Wisconsin, licensed in Indiana (18004015A) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bedford, and is a graduate of Illinois College Of Optometry At Chicago (2014).

NPPES Registry Identity

NPI1619380755

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMS. SONALI PATELCredential: O.D.

Location AddressW225N16711 CEDAR PARK CTJackson, WI 53037-9222

Mailing AddressW225n16711 Cedar Park CtJackson, WI 53037-9222 · (262) 677-1101 · Fax (262) 677-0121

Phone(262) 677-1101

Fax(262) 677-0121

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2014

Enumeration DateJune 6, 2014

Last NPPES UpdateNovember 10, 20202 updates tracked since enumeration

NPPES CertifiedAugust 21, 2020

✔ NPI 1619380755 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 IN · 18004015A✔ Licensed in IL · 046.010774

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.

W225N16711 CEDAR PARK CT, Jackson, WI 53037

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Secondary Practice Location 1

Location 1200 Springs RdBedford, MA 01730-1114 · Phone (781) 687-2000

Other Identifiers 1

Medicaid300002146IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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

Ms. Sonali 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 ID7416234281

PECOS Enrollment IDI20201002000461

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 11

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.

178 services176 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.

101 services90 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.

97 services75 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

95 services78 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

90 services64 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

78 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53037 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 12

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

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