Individual provider Active NPI

Simi Bhardwaj Sethi, O.D.

  • Optometrist
  • Atlantic City, NJ
National Provider Identifier
1144382946
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA006618800 Issued in NJ
Practice address
1440 Atlantic Ave
Sai Vision Care LLC Dba Family Vision Care
Atlantic City, NJ 08401-8006
Phone
(609) 345-3000
Fax
(609) 345-1494
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1050-OD WV
Optometrist 152W00000X 0618001603 VA
Optometrist 152W00000X 27OA006618800 NJ Primary

Addresses

Primary practice location

1440 Atlantic Ave
Sai Vision Care LLC Dba Family Vision Care
Atlantic City, NJ 08401-8006

Mailing address

5 Crestwood Ave
Linwood, NJ 08221-1946
Phone (609) 345-3000

Other identifiers 1

IdentifierTypeStateIssuer
0210315MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20100301000326 NJ Practitioner - Optometry 6901941004 Reassigns benefits to 1 organization
Practice locations: Manahawkin, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1440 Atlantic Ave
Atlantic City, NJ 08401-8006

245 Stafford Park Blvd
Manahawkin, NJ 08050-2734
Phone (609) 242-2024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA006618800NJMDOptometrist
0618001603VAMDOptometrist
1050-ODWVMDOptometrist

Organizations & group practices 1

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1144382946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CRESTWOOD AVE",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211946",
            "telephone_number": "609-345-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 ATLANTIC AVE",
            "address_2": "SAI VISION CARE LLC DBA FAMILY VISION CARE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084018006",
            "telephone_number": "609-345-3000",
            "fax_number": "609-345-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETHI",
        "first_name": "SIMI",
        "middle_name": "BHARDWAJ",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1050-OD",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001603",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA006618800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0210315",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

Verify at the official NPI Registry.