Mayur Bhavsar, OD
Individual provider Active NPI Optometrist · Lyons, NJ
NPI 1497951644 · NPPES record last updated Dec 2, 2008
Key facts
- NPI
- 1497951644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 27OA00611100 (NJ)
- Practice address
- 151 Knollcroft Rd
Lyons, NJ 07939-5001 - Phone
- (908) 647-0180
- NPI assigned
- Jun 25, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120920000720 | NJ | Order and Referring Only - Optometry |
1951581644 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00611100 | NJ | Yes |
Addresses
Primary practice location
151 Knollcroft Rd
Lyons, NJ 07939-5001
Mailing address
151 Knollcroft Rd
Lyons, NJ 07939-5001
Other providers in Lyons, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.