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DR. BINAL PATEL O.D.
NPI 1790036325
Optometrist in Clermont, FL

Active since September 22, 2012PECOS EnrolledAccepts Medicare Assignment
3140 CITRUS TOWER BLVD STE A, CLERMONT, FL 34711(352) 243-2121(352) 243-2140 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 28, 2022, Dec 29, 2017 (2 updates tracked since 2017).

About Dr. Binal Patel O.d. NPPES

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

DR. BINAL PATEL O.D. (NPI 1790036325) is an individual optometrist in Clermont, Florida, licensed in Florida (OPC4721) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2012).

NPPES Registry Identity

NPI1790036325
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. BINAL PATELCredential: O.D.
Location Address3140 CITRUS TOWER BLVD STE AClermont, FL 34711-6888
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899 · Fax (571) 223-6780
Phone(352) 243-2121
Fax(352) 243-2140
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2012
Enumeration DateSeptember 22, 2012
Last NPPES UpdateFebruary 28, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2022
✔ NPI 1790036325 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 FL · OPC4721✔ Licensed in PA · OEG002695
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.
3140 CITRUS TOWER BLVD STE A, Clermont, FL 34711
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Other Identifiers 1

Other1790036325FL · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Dr. Binal 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 ID1456595271
PECOS Enrollment IDI20130918000260
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

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.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34711 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Binal Patel's NPI number?

The NPI number for Binal Patel is 1790036325. It was assigned to this individual provider in the NPPES registry on September 22, 2012.

Where is Binal Patel located?

Binal Patel practices at 3140 Citrus Tower Blvd Ste A, Clermont, FL 34711. The listed phone number is (352) 243-2121.

What is Binal Patel's specialty?

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

Is Binal Patel enrolled in Medicare?

Yes. Binal 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 Binal Patel accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 9 other insurers list Binal 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 Binal Patel was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.