DR. HEMANT KUMAR PATEL O.D.
NPI 1942572185
Optometrist in Auburn, MA

Q: What is Hemant Kumar Patel's NPI number?

The NPI number for Hemant Kumar Patel is 1942572185. It was assigned to this individual provider in the NPPES registry on February 3, 2012.

Q: What is Hemant Kumar Patel's specialty?

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

Active since February 03, 2012PECOS EnrolledAccepts Medicare Assignment

385 SOUTHBRIDGE ST, (LENSCRAFTERS AUBURN MALL), AUBURN, MA 01501(508) 721-9701 Get Directions Write a Review

NPPES record last updated: July 11, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Hemant Kumar Patel O.d. NPPES

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

DR. HEMANT KUMAR PATEL O.D. (NPI 1942572185) is an individual optometrist in Auburn, Massachusetts, licensed in Massachusetts (4897) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2011).

NPPES Registry Identity

NPI1942572185

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. HEMANT KUMAR PATELCredential: O.D.

Location Address385 SOUTHBRIDGE ST, (LENSCRAFTERS AUBURN MALL)Auburn, MA 01501-2498

Mailing Address385 Southbridge St, (lenscrafters Auburn Mall)Auburn, MA 01501-2498 · (508) 721-9701

Phone(508) 721-9701

Sole ProprietorYes

Medical School CMSNew England College Of OptometryGraduated 2011

Enumeration DateFebruary 3, 2012

Last NPPES UpdateJuly 11, 2015

✔ NPI 1942572185 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 · 4897

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.

385 SOUTHBRIDGE ST, Auburn, MA 01501

Open in Google Maps ↗

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 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

Dr. Hemant Kumar 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 ID4385804509

PECOS Enrollment IDI20140401000028

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 3

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.

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.

60 services60 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.

45 services45 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.

31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01501 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.

Leave this field empty

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.

DR. DEBBORAH E. SMYTH PHD

Psychologist