Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shivam Patel

Individual provider Optometrist · NPI 1053829424

Shivam Patel is an Optometry in Daytona Beach, Florida. Qualified in 2017, 9 years ago. Practices with Vision One Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018

Practice location Address checks out

1900 Mason Ave Ste 100
Daytona Beach, FL 32117-5116
Phone: (386) 274-5525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC5480 (FL)

Record details

NPI number1053829424
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 18, 2018
Last updated in NPPESJanuary 18, 2018
Mailing address1920 San Jacinto Cir, Sanford, FL 32771-6387

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Vision One Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Daytona Beach