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HENNA Y PATEL
NPI 1639816671
Optometrist in Middletown, NJ

Active since May 19, 2022PECOS EnrolledAccepts Medicare Assignment
786 HIGHWAY 35, MIDDLETOWN, NJ 07748(732) 671-7300 Get Directions Write a Review

NPPES record last updated: November 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2022, Sep 1, 2022, May 19, 2022 (3 updates tracked since 2022).

About Henna Y Patel NPPES

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

HENNA Y PATEL (NPI 1639816671) is an individual optometrist in Middletown, New Jersey, licensed in New Jersey (27OA00716200) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639816671
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameHENNA Y PATEL
Location Address786 HIGHWAY 35Middletown, NJ 07748-3410
Mailing AddressPo Box 208944Dallas, TX 75320-8944 · (636) 200-4393 · Fax (636) 527-0766
Phone(732) 671-7300
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 19, 2022
Last NPPES UpdateNovember 19, 20223 updates tracked since enumeration
NPPES CertifiedNovember 19, 2022
✔ NPI 1639816671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NJ · 27OA00716200
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
786 HIGHWAY 35, Middletown, NJ 07748
Open in Google Maps ↗

Secondary Practice Locations 8

Location 13013 Highway 35Hazlet, NJ 07730-1526 · Phone (732) 739-4000
Location 2443 Route 34 Ste FMatawan, NJ 07747-9506 · Phone (732) 583-3600
Location 3178 Highway 35Eatontown, NJ 07724-1883 · Phone (732) 542-3050
Location 4103 S Hyde AveIselin, NJ 08830-2105 · Phone (732) 425-4310
Location 535 Monmouth StRed Bank, NJ 07701-1613 · Phone (732) 530-5151
Location 6359 Brick BlvdBrick, NJ 08723-6010 · Phone (732) 920-1330
Location 72204 Highway 35 Ste 9Sea Girt, NJ 08750-2323 · Phone (732) 223-2800
Location 81001 Route 70 Unit B1Manchester, NJ 08759-5804 · Phone (732) 657-1400

Accepted Insurance

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

Henna Y Patel 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 ID1759767577
PECOS Enrollment IDI20221003000972
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 7

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
119 services117 patients
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.
111 services111 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.
73 services54 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.
27 services23 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.
26 services20 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).
22 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07748 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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

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

OPTOMETRIC PHYSICIANS OF MIDDLETOWN PA
Optometrist
786 HIGHWAY 35
MIDDLETOWN, NJ 07748
Monmouth County (732) 671-7300

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 Henna Patel's NPI number?

The NPI number for Henna Patel is 1639816671. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Where is Henna Patel located?

Henna Patel practices at 786 Highway 35, Middletown, NJ 07748. The listed phone number is (732) 671-7300.

What is Henna Patel's specialty?

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

Is Henna Patel enrolled in Medicare?

Yes. Henna 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 Henna Patel accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Henna 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 Henna Patel was last updated on November 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.