PRINAL M PATEL OD
NPI 1871274522
Optometrist in Lancaster, MA

Q: What is Prinal Patel's NPI number?

The NPI number for Prinal Patel is 1871274522. It was assigned to this individual provider in the NPPES registry on July 26, 2023.

Q: What is Prinal 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 Prinal Patel was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 July 26, 2023PECOS EnrolledAccepts Medicare Assignment

479 OLD UNION TPKE, LANCASTER, MA 01523(978) 539-3900(978) 537-6030 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2026, Jul 26, 2023 (2 updates tracked since 2023).

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About Prinal M Patel Od NPPES

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

PRINAL M PATEL OD (NPI 1871274522) is an individual optometrist in Lancaster, Massachusetts, licensed in Massachusetts (OPT5634) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of State University Of New York - State College Optometry (2023).

NPPES Registry Identity

NPI1871274522

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NamePRINAL M PATELCredential: OD

Location Address479 OLD UNION TPKELancaster, MA 01523-3029

Mailing Address479 Old Union TpkeLancaster, MA 01523-3029 · (978) 539-3900 · Fax (978) 537-6030

Phone(978) 539-3900

Fax(978) 537-6030

Sole ProprietorNo

Medical School CMSState University Of New York - State College OptometryGraduated 2023

Enumeration DateJuly 26, 2023

Last NPPES UpdateJune 3, 20262 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1871274522 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 MA · OPT5634

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.

479 OLD UNION TPKE, Lancaster, MA 01523

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Secondary Practice Locations 4

Location 1413 Main StAthol, MA 01331-1842 · Phone (978) 249-4209 · Fax (978) 249-4102

Location 2255 Park Ave Ste 606Worcester, MA 01609-1930 · Phone (508) 753-1032 · Fax (508) 755-5705

Location 3100 Powdermill RdActon, MA 01720-5932 · Phone (978) 897-7212 · Fax (978) 461-0345

Location 474 Main StGardner, MA 01440-2634 · Phone (978) 632-3930 · Fax (978) 632-3158

Accepted Insurance

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

Prinal M Patel Od 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 ID3971965310

PECOS Enrollment IDI20230816002321

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 10

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.

277 services276 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.

91 services79 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.

61 services61 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.

50 services48 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

37 services37 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

33 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01523 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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.

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Other Providers at the Same Location NPPES 20

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

JESSICA JONES

Technician/Technologist (Optician)