Individual provider Active NPI

Neerja Jindal, O.D.

  • Optometrist
  • Toledo, OH
National Provider Identifier
1417063082
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5098/T1997 Issued in OH
Practice address
4565 Monroe St
Toledo, OH 43613-4709
Phone
(419) 292-2282
Fax
(419) 292-1728
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5098/T1997 OH Primary

Addresses

Primary practice location

4565 Monroe St
Toledo, OH 43613-4709

Mailing address

2530 Olde Brookside Rd
Ottawa Hills, OH 43615-2234
Phone (419) 531-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20061219000610 OH Practitioner - Optometry 4688673684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fallen Timbers Family Eye CareGroup PAC ID 1254406317, 4 clinicians

Practice addresses (Care Compare)

3100 N Main St
Suite 723
Maumee, OH 43537-7515
Phone (419) 878-2628

5001 Monroe St
Suite 206
Toledo, OH 43623-3627
Phone (419) 475-7908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5098/T1997OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fallen Timbers Family Eye Care Optometrist CurrentSince Jul 28, 2008 Accepting new patients

Locations

3100 Main St
Ste 723
Maumee, OH 43537
Phone (419) 878-2628

5001 Monroe St
Ste 206
Toledo, OH 43623
Phone (419) 475-7908

Organizations & group practices 1

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417063082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 OLDE BROOKSIDE RD",
            "city": "OTTAWA HILLS",
            "state": "OH",
            "postal_code": "436152234",
            "telephone_number": "419-531-5757",
            "fax_number": "419-531-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 MONROE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436134709",
            "telephone_number": "419-292-2282",
            "fax_number": "419-292-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINDAL",
        "first_name": "NEERJA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5098/T1997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.