Individual provider Active NPI

Anjali Desai Vachhani, O.D.

  • Optometrist
  • Morrisville, NC
National Provider Identifier
1023321056
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2221 Issued in NC
Practice address
3603 Davis Dr
Suite 100
Morrisville, NC 27560-6008
Phone
(919) 234-4888
Fax
(919) 234-4890
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002339 PA
Optometrist 152W00000X 2221 NC Primary

Addresses

Primary practice location

3603 Davis Dr
Suite 100
Morrisville, NC 27560-6008

Mailing address

3603 Davis Dr
Suite 100
Morrisville, NC 27560-6008
Phone (919) 234-4888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140825001118 NC Practitioner - Optometry 7517185077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1960 Randolph Rd
Charlotte, NC 28207-1129
Phone (704) 372-5332

3603 Davis Dr
Suite 100
Morrisville, NC 27560-6009
Phone (919) 234-4888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2221NCMDBehavioral Analyst
OEG002339PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince May 30, 2014 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince May 30, 2014 Accepting new patients
Myeyedr Optometry of North Carolina Optometrist Past Accepting new patients

Locations

800 W Williams St
Ste 164
Apex, NC 27502
Phone (919) 362-0332

1975 High House Rd
Cary, NC 27519
Phone (919) 461-0771

2346 Walnut St
Cary, NC 27518
Phone (919) 851-0093

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

1003 Vandora Springs Rd
Garner, NC 27529
Phone (919) 772-4575

7075 White Oak Rd
Garner, NC 27529
Phone (919) 282-0053

173 Grand Hill Pl
Holly Springs, NC 27540
Phone (919) 346-2062

3603 Davis Dr
Ste 100
Morrisville, NC 27560
Phone (919) 234-4888

3214 Charles B Root Wynd
Ste 120
Raleigh, NC 27612
Phone (919) 881-0900

8231 Brier Creek Pkwy
Raleigh, NC 27617
Phone (919) 863-5032

6566 Glenwood Ave
Raleigh, NC 27612
Phone (919) 783-0011

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1023321056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 DAVIS DR",
            "address_2": "SUITE 100",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606008",
            "telephone_number": "919-234-4888",
            "fax_number": "919-234-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 DAVIS DR",
            "address_2": "SUITE 100",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606008",
            "telephone_number": "919-234-4888",
            "fax_number": "919-234-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACHHANI",
        "first_name": "ANJALI",
        "middle_name": "DESAI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002339",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

Verify at the official NPI Registry.