Individual provider Active NPI

Sonya Sheth, O.D.

  • Optometrist
  • Stoneham, MA
National Provider Identifier
1144398645
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
46009351 Issued in IL
Practice address
3 Woodland Rd Ste 120
Stoneham, MA 02180-1710
Phone
(781) 979-0960
Fax
(781) 979-0618
NPI assigned
Dec 1, 2006
Last updated
Apr 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 46009351 IL Primary

Addresses

Primary practice location

3 Woodland Rd Ste 120
Stoneham, MA 02180-1710

Mailing address

3 Woodland Rd Ste 120
Stoneham, MA 02180-1710
Phone (781) 979-0960

Other identifiers 2

IdentifierTypeStateIssuer
4125001OtherILMEDICARE PTAN
046009351MedicaidIL

Other names 1

  • Dr. Sonya Patel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20170303001276 MA Practitioner - Optometry 7911891064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Vision Eye Center IncGroup PAC ID 9032208178, 3 clinicians

Practice addresses (Care Compare)

3 Woodland Rd
Suite 120
Stoneham, MA 02180-1710
Phone (781) 979-0960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46009351ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Vision Eye Center,Inc CurrentSince Feb 1, 2017 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Luxottica of America Inc Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Pearle Vision Inc Past Accepting new patients

Locations

3 Woodland Rd
Ste 120
Stoneham, MA 02180
Phone (781) 979-0960

300 Tradecenter
Ste 7690
Woburn, MA 01801
Phone (781) 979-0960

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1144398645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD STE 120",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801710",
            "telephone_number": "781-979-0960",
            "fax_number": "781-979-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD STE 120",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801710",
            "telephone_number": "781-979-0960",
            "fax_number": "781-979-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETH",
        "first_name": "SONYA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46009351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "4125001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009351",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONYA",
            "last_name": "PATEL",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.