Individual provider Active NPI

Sonia Panchal, OD

  • Optometrist
  • Cherry Hill, NJ
National Provider Identifier
1841869005
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00705800 Issued in NJ
Practice address
2000 Route 38 # 1032
Cherry Hill, NJ 08002-2100
Phone
(856) 665-4111
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 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 27OA00705800 NJ Primary

Addresses

Primary practice location

2000 Route 38 # 1032
Cherry Hill, NJ 08002-2100

Mailing address

186 Douglas CT
West Deptford, NJ 08086-2013
Phone (856) 994-4042

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL advancedvisionconsultants.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230412001288 NJ Practitioner - Optometry 9638544265 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00705800NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles M. Cummins, OD., PA Optometrist CurrentSince Mar 6, 2023 Accepting new patients
Charles M Cummins, OD, PA Optometrist CurrentSince Mar 6, 2023 Accepting new patients

Locations

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

588 Route 70
Ste 9
Brick, NJ 08723
Phone (732) 864-0755

2703 Mount Holly Rd
Ste 2
Burlngtn Twp, NJ 08016
Phone (609) 948-3086

818 Haddonfield Rd
Cherry Hill, NJ 08002
Phone (856) 662-2740

1907 Deptford Center Rd
Ste 8
Deptford, NJ 08096
Phone (856) 232-5492

748 Route 73 S
Ste C
Marlton, NJ 08053
Phone (856) 296-5925

1040 Nixon Dr
Mount Laurel, NJ 08054
Phone (856) 778-0936

3501 Route 42
Unit 500
Turnersville, NJ 08012
Phone (856) 463-5780

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1841869005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 DOUGLAS CT",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080862013",
            "telephone_number": "856-994-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ROUTE 38 # 1032",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022100",
            "telephone_number": "856-665-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00705800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "advancedvisionconsultants.com",
            "affiliation": "N",
            "address_1": "2000 Route 38 # 1032",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080022100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.