Individual provider Active NPI

Sunita Jagani, O.D

  • Optometrist
  • Madison, AL
National Provider Identifier
1548518319
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-C83-TA-930 Issued in AL
Practice address
7880 Old Madison Pike
Madison, AL 35758
Phone
(256) 772-8711
Fax
(256) 772-8738
NPI assigned
Aug 27, 2012
Last updated
Jul 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-C83-TA-930 AL Primary

Addresses

Primary practice location

7880 Old Madison Pike
Madison, AL 35758

Mailing address

4601 Whitesburg Dr SE Ste 103
Huntsville, AL 35802-1677
Phone (256) 808-2000

Other practice location 1

3701 Loop Rd
Tuscaloosa VA medical center
Tuscaloosa, AL 35404-5015
Phone (205) 554-2822

Other practice location 2

4601 Whitesburg Dr SE Ste 103
Huntsville, AL 35802-1677
Phone (256) 808-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20130917000782 AL Practitioner - Optometry 8022252824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laser Eye Center PCGroup PAC ID 2769792548, 2 clinicians
Eyecare Associates, Inc.Group PAC ID 0749254001, 52 clinicians

Practice addresses (Care Compare)

1238 13TH Ave SE
Decatur, AL 35601-4307
Phone (256) 686-9000

2317 Memorial Pkwy SW
Suite 400
Huntsville, AL 35801-5623

7880 Old Madison Pike
Madison, AL 35758-1435
Phone (256) 772-8711

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Laser Eye Center PC CurrentSince Jul 11, 2016 Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince Jun 8, 2018 Accepting new patients
Eyecare Associates, Inc. Optometrist Current Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince Jun 8, 2018 Accepting new patients
Eyecare Associates, Inc. Past Accepting new patients

Locations

1238 13th Ave SE
Decatur, AL 35601
Phone (256) 355-3010

2317 Memorial Pkwy SW
Ste 400
Huntsville, AL 35801
Phone (256) 469-2337

4601 Whitesburg Dr SE
Ste 103
Huntsville, AL 35802
Phone (256) 265-7957

21 Hughes Rd
Ste 1
Madison, AL 35758
Phone (256) 678-7990

7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711

Interoperability endpoints

  • Direct secure messaging: sunitajagani@direct.eyecare-partners.com

Organizations & group practices 5

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": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1548518319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 WHITESBURG DR SE STE 103",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021677",
            "telephone_number": "256-808-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 OLD MADISON PIKE",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "35758",
            "telephone_number": "256-772-8711",
            "fax_number": "256-772-8738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Loop Rd",
            "address_2": "Tuscaloosa VA medical center",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354045015",
            "country_code": "US",
            "telephone_number": "205-554-2822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4601 Whitesburg Dr SE Ste 103",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358021677",
            "country_code": "US",
            "telephone_number": "256-808-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAGANI",
        "first_name": "SUNITA",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C83-TA-930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.