Active NPI
Anup Panjwani, O.D
- Optometrist
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA2294
- Practice address
- 3838 Watkins Mill Dr
Alexandria, VA 22304-6448 - Phone
- (904) 502-6075
- Fax
- (904) 207-7933
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC3506 | FL | |
| Optometrist | 152W00000X | 0618002102 | VA | |
| Optometrist | 152W00000X | TA2294 | MD | Primary |
Addresses
Primary practice location
3838 Watkins Mill Dr
Alexandria, VA 22304-6448
Mailing address
3838 Watkins Mill Dr
Alexandria, VA 22304-6448
Phone (904) 502-6075
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003659300 | Medicaid | FL | |
| 052828500 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11930 Acton LN
Waldorf, MD 20601-3689
Phone (240) 435-4822
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA2294 | MD | MD | Optometrist |
| 0618002102 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Anup K Panjwani and Associates | Optometrist | Current | Accepting new patients |
| Warrenton Eye Center LLC | Optometrist | Current | Accepting new patients |
| Dr Anup K Panjwani and Associates Inc | Optometrist | Current | Accepting new patients |
Locations
9501 Arlington Expy
Jacksonville, FL 32225
Phone (904) 721-1319
6767 103rd St
Jacksonville, FL 32210
Phone (904) 502-6075
40 Drury Dr
La Plata, MD 20646
Phone (301) 392-9106
3549 Russett Grn E
Laurel, MD 20724
Phone (240) 303-3437
11930 Acton Ln
Waldorf, MD 20601
Phone (240) 435-4822
700 James Madison Hwy
Warrenton, VA 20186
Phone (540) 216-0816
Organizations & group practices 3
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.
-
dba hi def eyecare center
- Optometrist
- Alexandria, VA
- NPI 1275827982
MD
-
- Optometrist
- Warrenton, VA
- NPI 1871846188
-
- Optometrist
- Jacksonville, FL
- NPI 1821207903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1497880512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3838 WATKINS MILL DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223046448",
"telephone_number": "904-502-6075",
"fax_number": "904-207-7933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 WATKINS MILL DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223046448",
"telephone_number": "904-502-6075",
"fax_number": "904-207-7933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANJWANI",
"first_name": "ANUP",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3506",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002102",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA2294",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003659300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "052828500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.