Individual provider Active NPI

Avani Siddhapura, OD

  • Optometrist
  • Williamsburg, VA
National Provider Identifier
1295347268
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0620000054 Issued in VA
Practice address
4640 Monticello Ave Ste 8a
Williamsburg, VA 23188-8230
Phone
(757) 645-3930
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0620000054 VA Primary
Optometrist 152W00000X 27OA00697700 NJ
Optometrist 152W00000X TUV009226-01 NY

Addresses

Primary practice location

4640 Monticello Ave Ste 8a
Williamsburg, VA 23188-8230

Mailing address

4640 Monticello Ave Ste 8a
Williamsburg, VA 23188-8230
Phone (757) 645-3930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250211001994 VA Practitioner - Optometry 8820400336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight 2 See Optometry PLLCGroup PAC ID 9931359189, 3 clinicians

Practice addresses (Care Compare)

1074 W Mercury Blvd
Hampton, VA 23666-3380
Phone (757) 850-1640

Merit-based Incentive Payment System (MIPS)

Final score
79.45 of 100Reported as group
Quality
95.82
Improvement activities
40
Cost
37.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00697700NJMDOptometrist
TUV009226-01NYMDOptometrist
0620000054VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sight 2 See Optometry PLLC Optometrist CurrentSince Nov 7, 2024 Accepting new patients
Optiview Family Eyecare PLLC Optometrist Current Accepting new patients

Locations

1074 W Mercury Blvd
Hampton, VA 23666
Phone (757) 850-1640

4640 Monticello Ave
Ste 8A
Williamsburg, VA 23188
Phone (757) 258-1020

Organizations & group practices 2

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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1295347268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 MONTICELLO AVE STE 8A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888230",
            "telephone_number": "757-645-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 MONTICELLO AVE STE 8A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888230",
            "telephone_number": "757-645-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDHAPURA",
        "first_name": "AVANI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0620000054",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00697700",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009226-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.