SONAL PATEL O.D.
NPI 1750699500
Optometrist in Upper Darby, PA

Active since September 15, 2010PECOS EnrolledAccepts Medicare Assignment
1560 GARRETT RD STE F, UPPER DARBY, PA 19082(610) 623-0039(610) 623-2840 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2018, Sep 9, 2018, Mar 22, 2018 (3 updates tracked since 2018).

About Sonal Patel O.d. NPPES

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

SONAL PATEL O.D. (NPI 1750699500) is an individual optometrist in Upper Darby, Pennsylvania, licensed in Pennsylvania (OEG003341) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Nova Southeastern Univ College Of Dental Medicine (2010).

NPPES Registry Identity

NPI1750699500
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSONAL PATELCredential: O.D.
Location Address1560 GARRETT RD STE FUpper Darby, PA 19082-4516
Mailing Address1560 Garrett Rd Ste FUpper Darby, PA 19082-4516 · (610) 623-0039 · Fax (610) 623-2840
Fax(610) 623-2840
Sole ProprietorYes
Medical School CMSNova Southeastern Univ College Of Dental MedicineGraduated 2010
Enumeration DateSeptember 15, 2010
Last NPPES UpdateOctober 4, 20183 updates tracked since enumeration
NPI 1750699500 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 PA · OEG003341
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.
1560 GARRETT RD STE F, Upper Darby, PA 19082

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Sonal 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 ID5395996862
PECOS Enrollment IDI20200521001120
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 8

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.
124 services124 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.
80 services52 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.
69 services57 patients
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.
39 services35 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.
23 services21 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19082 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Optometrist
1560 GARRETT RD STE F
UPPER DARBY, PA 19082
Optometrist
1560 GARRETT RD STE F
UPPER DARBY, PA 19082
Optometrist
1560 GARRETT RD STE F
UPPER DARBY, PA 19082
Optometrist
1560 GARRETT RD STE F
UPPER DARBY, PA 19082

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 Sonal Patel's NPI number?

The NPI number for Sonal Patel is 1750699500. It was assigned to this individual provider in the NPPES registry on September 15, 2010.

Where is Sonal Patel located?

Sonal Patel practices at 1560 Garrett Rd Ste F, Upper Darby, PA 19082. The listed phone number is (610) 623-0039.

What is Sonal Patel's specialty?

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

Is Sonal Patel enrolled in Medicare?

Yes. Sonal 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 Sonal Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Sonal 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 Sonal Patel was last updated on October 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.