Individual provider Active NPI

Mili Shukla, O.D.

  • Optometrist
  • North Plainfield, NJ
National Provider Identifier
1861401291
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00601300 Issued in NJ
Practice address
1290 US Highway 22 E
North Plainfield, NJ 07060-3518
Phone
(908) 546-5681
Fax
(908) 546-5682
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00601300 NJ Primary

Addresses

Primary practice location

1290 US Highway 22 E
North Plainfield, NJ 07060-3518

Mailing address

208 Lenox Ave # 103
Westfield, NJ 07090-5120
Phone (908) 546-5681

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
I20070313000333 NJ Practitioner - Optometry 2769585793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1290 US Hwy 22 E
North Plainfield, NJ 07060-3518
Phone (908) 546-5681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00601300NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Om Eyecare, Inc. CurrentSince Mar 29, 2014 Accepting new patients
Opti-Design LLC Past Accepting new patients
Optical Kare LLC Past Accepting new patients

Locations

1290 US Highway 22 E
North Plainfield, NJ 07060
Phone (908) 546-5666

Organizations & group practices 3

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1861401291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 LENOX AVE # 103",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070905120",
            "telephone_number": "908-546-5681",
            "fax_number": "908-546-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 US HIGHWAY 22 E",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603518",
            "telephone_number": "908-546-5681",
            "fax_number": "908-546-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "MILI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00601300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.