Individual provider Active NPI

Naiya Panchal, O.D

  • Optometrist
  • Marshall, MI
National Provider Identifier
1225573579
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005026 Issued in MI
Practice address
830 W Michigan Ave
Marshall, MI 49068
Phone
(269) 781-9822
Fax
(269) 781-3622
NPI assigned
Dec 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005026 MI Primary
Optometrist 152W00000X 046011075 IL

Addresses

Primary practice location

830 W Michigan Ave
Marshall, MI 49068

Mailing address

702 W Lake Lansing Rd
East Lansing, MI 48823-8526
Phone (517) 337-0316

Other practice location 1

830 W Michigan Ave
Marshall, MI 49068
Phone (269) 781-9822

Other practice location 2

6650 S Westnedge Ave Ste 232
Portage, MI 49024-3503
Phone (269) 327-2881

Other practice location 3

2001 Coolidge Rd
East Lansing, MI 48823
Phone (517) 337-1668

Other practice location 4

3600 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 979-6383

Other practice location 5

1060 N 10th St
Kalamazoo, MI 49009-6113
Phone (269) 353-9700

Other identifiers 1

IdentifierTypeStateIssuer
1225573579MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170328001345 MI Practitioner - Optometry 8527343847 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Michigan Ophthalmology P CGroup PAC ID 9335298652, 2 clinicians

Practice addresses (Care Compare)

830 W Michigan Ave
Marshall, MI 49068-1446
Phone (269) 781-9822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011075ILMDOptometrist
4901005026MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Michigan Ophthalmology P C CurrentSince Mar 1, 2019 Accepting new patients
Lansing Ophthalmology, P.C. Optometrist Past Accepting new patients

Locations

3600 Capital Ave SW
Ste 203
Battle Creek, MI 49015
Phone (269) 979-6383

3600 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 719-8046

830 W Michigan Ave
#L
Marshall, MI 49068
Phone (269) 781-9822

830 W Michigan Ave
Marshall, MI 49068
Phone (269) 781-9822

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_southmichiganophthalmology

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": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1225573579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W LAKE LANSING RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238526",
            "telephone_number": "517-337-0316",
            "fax_number": "517-622-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "49068",
            "telephone_number": "269-781-9822",
            "fax_number": "269-781-3622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 W Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MI",
            "postal_code": "49068",
            "country_code": "US",
            "telephone_number": "269-781-9822",
            "fax_number": "269-781-3622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6650 S Westnedge Ave Ste 232",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490243503",
            "country_code": "US",
            "telephone_number": "269-327-2881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Coolidge Rd",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "48823",
            "country_code": "US",
            "telephone_number": "517-337-1668",
            "fax_number": "517-337-1779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Capital Ave SW",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "49015",
            "country_code": "US",
            "telephone_number": "269-979-6383",
            "fax_number": "269-979-6381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 N 10th St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490096113",
            "country_code": "US",
            "telephone_number": "269-353-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "NAIYA",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005026",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225573579",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MI

Sources for this page

Verify at the official NPI Registry.