Individual provider Active NPI

Jamie Varghese, OD

  • Optometrist
  • West Orange, NJ
National Provider Identifier
1265100242
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
203599 Issued in AK
Practice address
25 Stanford Ave
West Orange, NJ 07052-2050
Phone
(973) 640-0161
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00709900 NJ
Optometrist 152W00000X 203599 AK Primary

Addresses

Primary practice location

25 Stanford Ave
West Orange, NJ 07052-2050

Mailing address

25 Stanford Ave
West Orange, NJ 07052-2050

Other identifiers 1

IdentifierTypeStateIssuer
203599OtherAKOPTOMETRY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220118000365 NJ Practitioner - Optometry 1951793306 Reassigns benefits to 2 organizations
I20240503000119 AK Practitioner - Optometry 1951793306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Partners Physicians PCGroup PAC ID 6002728532, 59 clinicians
Eye Guys LLCGroup PAC ID 6305210709, 6 clinicians

Practice addresses (Care Compare)

2555 Phillips Field Rd
Fairbanks, AK 99709-3933
Phone (907) 328-2920

285 E Parks Hwy
Wasilla, AK 99654-7039
Phone (907) 376-3917

Hospital & facility affiliations

  • Fairbanks Memorial Hospital Hospital, Fairbanks, AK, CCN 020012

Merit-based Incentive Payment System (MIPS)

Final score
89.74 of 100Reported as group
Quality
88.73
Promoting interoperability
100
Improvement activities
40
Cost
77.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Partners Physicians, P.C. Optometrist CurrentSince Aug 20, 2024 Accepting new patients
Aurora Eyecare of Alaska Optometrist CurrentSince Dec 15, 2024 Accepting new patients
Eye Guys LLC Optometrist CurrentSince Apr 19, 2024 Accepting new patients
Sight Partners Physicians PC CurrentSince Aug 20, 2024 Accepting new patients
Sight Partners Physicians, P.C. Optometrist Current Accepting new patients
Riverdale Vision Care, P.a. Optometrist CurrentSince Jan 1, 2022 Accepting new patients
TML Vision Care, LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Eye Guys Optometrist PastSince Apr 19, 2024 Accepting new patients
Sight Partners Physicians, P.C. Optometrist Past Accepting new patients

Locations

2555 Phillips Field Rd
Fairbanks, AK 99709
Phone (907) 328-2920

285 E Parks Hwy
Wasilla, AK 99654
Phone (907) 376-3917

154 State Route 10
Unit 4B
East Hanover, NJ 07936
Phone (973) 887-0216

92 State Rt 23
Ste E
Riverdale, NJ 07457
Phone (973) 248-0600

Interoperability endpoints

  • Direct secure messaging: jvarghese@nwes.intellechartdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1265100242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 STANFORD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 STANFORD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522050",
            "telephone_number": "973-640-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00709900",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "203599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "203599",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.