Poonam K Bhavsar

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00707600 Issued in NJ

Practice address

300 Frank W Burr Blvd Ste 71
Teaneck, NJ 07666-6703

Phone

(201) 692-9434

Fax

(201) 692-9646

NPI assigned

Aug 19, 2021

Last updated

Sep 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lens Lab Express of 5917 Bergenline

  • Optometrist
  • West New York, NJ
  • NPI 1023643079
  Medicare reassignment NPD
• The Cornea and Laser Eye Institute, P.a.

  • Ophthalmology Physician
  • Teaneck, NJ
  • NPI 1528152964
  NPD
• Lens Lab Express of West New York,Inc.

  • Optician
  • West New York, NJ
  • NPI 1316080252
  NPD (past)

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1790451797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FRANK W BURR BLVD STE 71",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666703",
            "telephone_number": "201-692-9434",
            "fax_number": "201-692-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FRANK W BURR BLVD STE 71",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666703",
            "telephone_number": "201-692-9434",
            "fax_number": "201-692-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAVSAR",
        "first_name": "POONAM",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00707600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Joseph Bevilacqua, DPM
• BF Dental Professionals PC
• Gautam Bhasin, PSYD
• Kiran Bhat, M.D.
• Amit M Bhatt, PHARMD, RPH
• Karen L Bicsak, DC
• Sohee Bidol-Lee, M.D.
• Shmuel Yitzchak Bieler, MPHNP-BC
• Mrutyunjay Bira I
• Birch Tree Medical Associates PA

• Optometrist in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.