Individual provider Active NPI

Seema Mahesh Shah, O.D.

  • Optometrist
  • West Caldwell, NJ
National Provider Identifier
1396178505
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00649900 Issued in NJ
Practice address
195 Fairfield Ave
Suite 4B
West Caldwell, NJ 07006
Phone
(973) 228-4990
Fax
(732) 698-9462
NPI assigned
Aug 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00649900 NJ Primary

Addresses

Primary practice location

195 Fairfield Ave
Suite 4B
West Caldwell, NJ 07006

Mailing address

195 Fairfield Ave
Suite 4B
West Caldwell, NJ 07006
Phone (973) 228-4990

Other names 1

  • Seema Mahesh Shroff Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130920000679 NJ Practitioner - Optometry 9739323312 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians

Practice addresses (Care Compare)

1255 Broad St
Suite 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632

195 Fairfield Ave
Suite 4B
West Caldwell, NJ 07006-6419
Phone (973) 228-4990

89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as group
Quality
96.31
Promoting interoperability
100
Improvement activities
40
Cost
73.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00649900NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of America, LLC CurrentSince Nov 11, 2019 Accepting new patients
Contact Lens and Vision Consultants, P.a Optometrist CurrentSince Aug 13, 2013 Accepting new patients
Contact Lens and Vision Associates, P.a Optometrist CurrentSince Aug 13, 2013 Accepting new patients
Essex Eye Physicians LLC PastSince Jan 2, 2003 Accepting new patients

Locations

1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

3710 Route 9 S
Ste 1501
Freehold, NJ 07728
Phone (732) 780-3000

213 Park St
Montclair, NJ 07042
Phone (973) 220-7612

195 Fairfield Ave
Ste 4B
West Caldwell, NJ 07006
Phone (973) 228-4990

161 A Woodbridge Ctr Dr
Woodbridge, NJ 07095
Phone (732) 698-1898

Organizations & group practices 4

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": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1396178505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 FAIRFIELD AVE",
            "address_2": "SUITE 4B",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "07006",
            "telephone_number": "973-228-4990",
            "fax_number": "732-698-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FAIRFIELD AVE",
            "address_2": "SUITE 4B",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "07006",
            "telephone_number": "973-228-4990",
            "fax_number": "732-698-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SEEMA",
        "middle_name": "MAHESH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00649900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEEMA",
            "last_name": "SHROFF",
            "middle_name": "MAHESH",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Caldwell, NJ

Sources for this page

Verify at the official NPI Registry.