Malay Pansheria, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00659800 Issued in NJ

Practice address

4-14 Saddle River Rd Ste 202
Fair Lawn, NJ 07410-5624

Phone

(201) 797-2747

Fax

(201) 254-9767

NPI assigned

Jun 29, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, VA2 enrollments

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 2

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resident Eye Care Associates LLCGroup PAC ID 1153310180, 14 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Resident Eye Care Associates, LLC

  • Optometrist
  • Fair Lawn, NJ
  • NPI 1508883307
  Medicare reassignment Care Compare group NPD
• Sai Vision Care LLC

  • Optometrist
  • Atlantic City, NJ
  • NPI 1598076481
  Medicare reassignment NPD
• Myeyedr Optometry of Virginia PLLC

  • Optometrist
  • Ashburn, VA
  • NPI 1174933691
  Medicare reassignment NPD
• DJ-MN Inc

  • Optician
  • Monticello, MN
  • NPI 1124179049
  NPD
• DJ-MN Inc

  • Optician
  • Anoka, MN
  • NPI 1205988805
  NPD
• DJ-MN Inc

  • Optician
  • Coon Rapids, MN
  • NPI 1578615019
  NPD
• Eagan Eye Clinic LLC

  • Optometrist
  • Becker, MN
  • NPI 1023615069
  NPD
• Eagan Eye Clinic LLC

  • Optometrist
  • Eagan, MN
  • NPI 1477732337
  NPD
• Myeyedr Optometry of Colorado PC

  • Optometrist
  • Parker, CO
  • NPI 1174170526
  NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • Yorktown, VA
  • NPI 1710533963
  NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • North Chesterfield, VA
  • NPI 1932075983
  NPD
• Myeyedr Optometry of Wisconsin, LLC

  • Optometrist
  • Kenosha, WI
  • NPI 1164992996
  NPD

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1821471657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-14 SADDLE RIVER RD STE 202",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105624",
            "telephone_number": "201-797-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-14 SADDLE RIVER RD STE 202",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105624",
            "telephone_number": "201-797-2747",
            "fax_number": "201-254-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANSHERIA",
        "first_name": "MALAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "OPT-OPT-LIC-4556",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00659800",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003065",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3738-35",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003740",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianna Paladino, PT, DPT
• Armando Palazzo, MA, LAC
• Cassie Palmer
• Harryjohn Panaretos, OD
• Gabriella Panobianco
• John S Pantazopoulos, M.D.
• Melissa Papanikolaou, LCSW
• Paramount Rehabilitation LLC
• Kartik Parekh, OTR/L
• Kirten Sanjay Parekh, D.P.M.

• Optometrist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.

Verify at the official NPI Registry.