Individual provider Active NPI

Sheetal M. Haria, O.D.

  • Optometrist
  • Danville, VA
National Provider Identifier
1437234077
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002451 Issued in VA
Practice address
415 Piney Forest Rd
Danville, VA 24540-4044
Phone
(434) 793-2020
Fax
(434) 792-0102
NPI assigned
Oct 25, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1987 MD
Optometrist 152W00000X 0618002451 VA Primary

Addresses

Primary practice location

415 Piney Forest Rd
Danville, VA 24540-4044

Mailing address

415 Piney Forest Rd
Danville, VA 24540-4044

Other practice location 1

2365 Crain Hwy.
Optical Dept.
Waldorf, MD 20601
Phone (301) 932-9408

Other practice location 2

2365 Crain Hwy.
Optical Dept.
Waldorf, MD 20601
Phone (301) 932-9408

Other identifiers 1

IdentifierTypeStateIssuer
418562500MedicaidMD

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
I20151029002551 VA Practitioner - Optometry 1355424797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eyecare Center PCGroup PAC ID 4688799596, 3 clinicians

Practice addresses (Care Compare)

415 Piney Forest Rd
Danville, VA 24540-4044
Phone (434) 793-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA1987MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare Center PC Optometrist CurrentSince Aug 19, 2015 Accepting new patients

Locations

415 Piney Forest Rd
Danville, VA 24540
Phone (434) 793-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437234077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 PINEY FOREST RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 PINEY FOREST RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404044",
            "telephone_number": "434-793-2020",
            "fax_number": "434-792-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2365 Crain Hwy.",
            "address_2": "Optical Dept.",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "20601",
            "country_code": "US",
            "telephone_number": "301-932-9408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2365 Crain Hwy.",
            "address_2": "Optical Dept.",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "20601",
            "country_code": "US",
            "telephone_number": "301-932-9408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARIA",
        "first_name": "SHEETAL",
        "middle_name": "M.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1987",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418562500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.