Individual provider Active NPI

Jeslyn Vayalil, OD

  • Optometrist
  • Peoria, AZ
National Provider Identifier
1841863644
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002511 Issued in AZ
Practice address
9127 W Thunderbird Rd Ste I104
Peoria, AZ 85381-4887
Phone
(623) 972-2158
Fax
(623) 972-3625
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002511 AZ Primary

Addresses

Primary practice location

9127 W Thunderbird Rd Ste I104
Peoria, AZ 85381-4887

Mailing address

9127 W Thunderbird Rd Ste I104
Peoria, AZ 85381-4887
Phone (623) 972-2158

Other names 1

  • Dr. Jeslyn Vayalil Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NETWORK Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210810003385 AZ Practitioner - Optometry 9436553625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern College of Osteo Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Eye Specialists LTDGroup PAC ID 7618953258, 3 clinicians

Practice addresses (Care Compare)

9127 W Thunderbird Rd
Suite 104
Peoria, AZ 85381-4887
Phone 6239722158108

Merit-based Incentive Payment System (MIPS)

Final score
93.63 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Eye Specialists LTD CurrentSince Aug 2, 2021 Accepting new patients
See Optical PastSince Jul 25, 2021 Accepting new patients

Locations

9127 W Thunderbird Rd
Ste I104
Peoria, AZ 85381
Phone (623) 972-2158

9127 W Thunderbird Rd
Ste 104
Peoria, AZ 85381
Phone (623) 972-2158

13629 W Camino del Sol
Ste 202
Sun City West, AZ 85375
Phone (602) 613-5473

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1841863644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9127 W THUNDERBIRD RD STE I104",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814887",
            "telephone_number": "623-972-2158",
            "fax_number": "623-972-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9127 W THUNDERBIRD RD STE I104",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814887",
            "telephone_number": "623-972-2158",
            "fax_number": "623-972-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYALIL",
        "first_name": "JESLYN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NETWORK",
            "affiliation": "N",
            "endpointDescription": "DESKTOP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9127 W Thunderbird Rd Ste I104",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853814887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESLYN",
            "last_name": "VAYALIL",
            "prefix": "DR.",
            "credential": "JESLYN VAYALIL, OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.