NPIMap

Organization Active NPI

Dr Anup K Panjwani and Associates Inc

  • Optometrist
  • Alexandria, VA
National Provider Identifier
1275827982
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3506 Issued in FL
Legal business name
DR ANUP K PANJWANI AND ASSOCIATES INC
Practice address
3838 Watkins Mill Dr
Alexandria, VA 22304-6448
Phone
(904) 502-6075
Fax
(904) 207-7933
NPI assigned
May 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Dr. Anup Kumar Panjwani, O.D.NPI 1497880512
Title
Pres
Phone
(904) 502-6075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC3506 FL Primary

Addresses

Primary practice location

3838 Watkins Mill Dr
Alexandria, VA 22304-6448

Mailing address

3838 Watkins Mill Dr
Alexandria, VA 22304-6448
Phone (904) 502-6075

Other identifiers 1

IdentifierTypeStateIssuer
003658300MedicaidFL

Other names 1

  • hi def eyecare center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120626000509 MD Part B Supplier - Clinic/Group Practice 3375711997 Receives reassigned benefits from 7 practitioners
Practice locations: California, MD; Clinton, MD; La Plata, MD; Laurel, MD; Waldorf, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1275827982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 WATKINS MILL DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223046448",
            "telephone_number": "904-502-6075",
            "fax_number": "904-207-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 WATKINS MILL DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223046448",
            "telephone_number": "904-502-6075",
            "fax_number": "904-207-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANUP K PANJWANI AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "PANJWANI",
        "authorized_official_first_name": "ANUP",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "904-502-6075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003658300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hi def eyecare center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.