Active NPI
Naiya Panchal, O.D
- Optometrist
- Marshall, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005026
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225573579 | Medicaid | MI |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 046011075 | IL | MD | Optometrist |
| 4901005026 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Michigan Ophthalmology P C | Current | 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
- 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.
-
- Clinic/Center
- Marshall, MI
- NPI 1629224514
-
- Ophthalmology Physician
- Grand Rapids, MI
- NPI 1801977202
-
- Optometrist
- Novi, MI
- NPI 1831548890
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.