Maya Panchal, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00705200 Issued in NJ

Practice address

748 Route 73 S Ste C
Evesham, NJ 08053-4135

Phone

(856) 596-5925

NPI assigned

Jun 7, 2021

Last updated

Jun 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charles M. Cummins, OD., PA

  dba EyeDRx

  • Optometrist
  • Bloomfield, NJ
  • NPI 1598797722
  Medicare reassignment NPD
• Charles M Cummins, OD, PA

  dba Visionworks Doctors of Optometry

  • Eyewear Supplier
  • Turnersville, NJ
  • NPI 1114703956

  Optometrist

  NPD
• Charles M. Cummins, OD, PA

  dba Visionworks

  • Optometrist
  • Deptford, NJ
  • NPI 1205177508
  NPD
• Charles M. Cummins, OD, PA

  • Optometrist
  • Marlton, NJ
  • NPI 1144644683
  NPD (past)

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1326615527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 DOUGLAS CT",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080862013",
            "telephone_number": "856-419-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 ROUTE 73 S STE C",
            "city": "EVESHAM",
            "state": "NJ",
            "postal_code": "080534135",
            "telephone_number": "856-596-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "MAYA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00705200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NJ ENT and Facial Plastic Surgery LLC (NJ ENT)
• Jamesetta Lee Nobles-Blackshear
• Cassandra Nunez, APN
• Oaks Integrated Care
• Oaks Integrated Care
• Milind Patel, M.D., M.B.A.
• Tanvi Patel
• Jessica Peel, OTR/L
• Q Pharma Inc (AtlantiCare Urgent Care Marlton)
• Pooja Rambhia, MD

• Optometrist in Evesham, NJ
• Providers in Evesham, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.