Individual provider Active NPI

Haley Parikh, OD

  • Optometrist
  • Marlton, NJ
National Provider Identifier
1487062253
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00664100 Issued in NJ
Practice address
163 Route 73 S
Marlton, NJ 08053-4120
Phone
(856) 985-1300
Fax
(856) 985-1346
NPI assigned
Jul 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00664100 NJ Primary

Addresses

Primary practice location

163 Route 73 S
Marlton, NJ 08053-4120

Mailing address

163 Route 73 S
Marlton, NJ 08053-4120
Phone (856) 985-1300

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
I20180911000152 NJ Practitioner - Optometry 5395963292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

163 Route 73 S
Marlton, NJ 08053-4120
Phone (856) 985-1300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00664100NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Optical LLC Optometrist Current Accepting new patients

Locations

163 Route 73 S
Marlton, NJ 08053
Phone (856) 985-0344

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": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1487062253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 ROUTE 73 S",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534120",
            "telephone_number": "856-985-1300",
            "fax_number": "856-985-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ROUTE 73 S",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534120",
            "telephone_number": "856-985-1300",
            "fax_number": "856-985-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIKH",
        "first_name": "HALEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2023-11-28",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00664100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.