Individual provider Active NPI

Nirvighna N. Kanjiya, O.D.

  • Optometrist
  • New Bern, NC
National Provider Identifier
1376876227
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2508 Issued in NC
Practice address
2001 S Glenburnie Rd
New Bern, NC 28562-5228
Phone
(252) 633-6900
Fax
(252) 633-6754
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002286 PA
Optometrist 152W00000X 14589 CA
Optometrist 152W00000X 2508 NC Primary

Addresses

Primary practice location

2001 S Glenburnie Rd
New Bern, NC 28562-5228

Mailing address

9200 Milliken Ave
#9215
Rancho Cucamonga, CA 91730-5484
Phone (248) 736-2138

Other practice location 1

315 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 353-1011

Other practice location 2

775 W Corbett Ave
Swansboro, NC 28584-8562
Phone (910) 326-3050

Other practice location 3

4130 Western Blvd
Jacksonville, NC 28546-6740
Phone (910) 353-9200

Other practice location 4

9200 Milliken Ave
#9215
Rancho Cucamonga, CA 91730-5484
Phone (717) 272-7059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20181015002711 NC Practitioner - Optometry 7517092497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Eye Clinic, PAGroup PAC ID 6103811716, 5 clinicians

Practice addresses (Care Compare)

802 McCarthy Blvd
New Bern, NC 28562-5236
Phone 2526334183225

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
87.16
Improvement activities
40
Cost
71.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14589CAMDOptometrist
OEG002286PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Eye Clinic, PA Optometrist CurrentSince Nov 2, 2022 Accepting new patients
Coastal Eye Clinic, PA Optometrist CurrentSince Nov 2, 2022 Accepting new patients

Locations

3504 Bridges St
Morehead City, NC 28557
Phone (252) 240-3077

802 McCarthy Blvd
New Bern, NC 28562
Phone (252) 633-4183

Interoperability endpoints

  • Direct secure messaging: nirvighnakanjiya@direct.eyecare-partners.com
  • Direct secure messaging: nkanjiya@coastaleyeclinic.updoxdirect.com

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": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1376876227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 MILLIKEN AVE",
            "address_2": "#9215",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305484",
            "telephone_number": "248-736-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S GLENBURNIE RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625228",
            "telephone_number": "252-633-6900",
            "fax_number": "252-633-6754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Western Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466338",
            "country_code": "US",
            "telephone_number": "910-353-1011",
            "fax_number": "910-353-4433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 W Corbett Ave",
            "address_purpose": "LOCATION",
            "city": "Swansboro",
            "state": "NC",
            "postal_code": "285848562",
            "country_code": "US",
            "telephone_number": "910-326-3050",
            "fax_number": "910-326-7088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4130 Western Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466740",
            "country_code": "US",
            "telephone_number": "910-353-9200",
            "fax_number": "910-353-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 Milliken Ave",
            "address_2": "#9215",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917305484",
            "country_code": "US",
            "telephone_number": "717-272-7059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANJIYA",
        "first_name": "NIRVIGHNA",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002286",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14589",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.