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

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