Active NPI
Jamie Varghese, OD
- Optometrist
- West Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 203599
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203599 | Other | AK | OPTOMETRY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.74 of 100
- Quality
- 88.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sight Partners Physicians, P.C. | Optometrist | Current | Accepting new patients |
| Aurora Eyecare of Alaska | Optometrist | Current | Accepting new patients |
| Eye Guys LLC | Optometrist | Current | Accepting new patients |
| Sight Partners Physicians PC | Current | Accepting new patients | |
| Sight Partners Physicians, P.C. | Optometrist | Current | Accepting new patients |
| Riverdale Vision Care, P.a. | Optometrist | Current | Accepting new patients |
| TML Vision Care, LLC | Optometrist | Current | Accepting new patients |
| Eye Guys | Optometrist | Past | 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
- 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.
-
- Optometrist
- Wasilla, AK
- NPI 1528503158
-
- Optometrist
- Riverdale, NJ
- NPI 1255581609
-
- Optometrist
- East Hanover, NJ
- NPI 1275806929
-
- Optometrist
- West Orange, NJ
- NPI 1194531400
-
- Multi-Specialty Clinic/Center
- Colville, WA
- NPI 1801781802
-
- Optometrist
- Wasilla, AK
- NPI 1053646570
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairbanks, AK
- NPI 1720537178
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.