DR. PRARTHANA AGRAWAL O.D.
NPI 1013355288
Optometrist in King Of Prussia, PA
About Dr. Prarthana Agrawal O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRARTHANA AGRAWAL O.D. (NPI 1013355288) is an individual optometrist in King Of Prussia, Pennsylvania, licensed in Texas (10724T) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Prarthana Agrawal O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
18Medicare enrollment records show Prarthana Agrawal reassigns Medicare billing to 18 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newtown Square, PA 19073
- Reassigned Medicare billing, Pennsylvania enrollment
- 262 clinicians in this Medicare group
East Hanover, NJ 07936
- Reassigned Medicare billing, New Jersey enrollment
- 10 clinicians in this Medicare group
Riverdale, NJ 07457
- Reassigned Medicare billing, New Jersey enrollment
- 9 clinicians in this Medicare group
New York, NY 10280
- Reassigned Medicare billing, New York enrollment
- 95 clinicians in this Medicare group
Syracuse, NY 13224
- Reassigned Medicare billing, New York and Pennsylvania enrollments
- 243 clinicians in this Medicare group
Pittsburgh, PA 15218
- Reassigned Medicare billing, Pennsylvania enrollment
- 165 clinicians in this Medicare group
Erie, PA 16565
- Reassigned Medicare billing, Pennsylvania enrollment
- 191 clinicians in this Medicare group
Solon, OH 44139
- Reassigned Medicare billing, Pennsylvania enrollment
- 27 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Pennsylvania enrollment
- 51 clinicians in this Medicare group
Mason, OH 45040
- Reassigned Medicare billing, Pennsylvania enrollment
- 27 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Prarthana Agrawal's NPI number?
The NPI number for Prarthana Agrawal is 1013355288. It was assigned to this individual provider in the NPPES registry on June 10, 2013.
Where is Prarthana Agrawal located?
Prarthana Agrawal practices at 690 W Dekalb Pike Lenscrafters, King Of Prussia, PA 19406. The listed phone number is (610) 337-4114.
What is Prarthana Agrawal's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Prarthana Agrawal enrolled in Medicare?
Yes. Prarthana Agrawal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Prarthana Agrawal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prarthana Agrawal reassigns Medicare benefits to 18 organizations: Myeyedr Optometry Of Pennsylvania, LLC (Newtown Square, PA), Tml Vision Care, LLC (East Hanover, NJ), Riverdale Vision Care, P.A. (Riverdale, NJ), 200 West Optics, LLC (New York, NY), Empire Vision Center Inc (Syracuse, NY) and 13 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Prarthana Agrawal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Prarthana Agrawal accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 20 other insurers list Prarthana Agrawal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Prarthana Agrawal was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Prarthana Agrawal, O.D. · NPI 1013355288
Optometrist provider in King Of Prussia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 10, 2013.
## Identity
- **NPI:** 1013355288 (Entity type: Individual)
- **Enumerated:** June 10, 2013
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 10724T (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 690 W DEKALB PIKE, LENSCRAFTERS, King Of Prussia, PA 19406-2943
- **Phone:** (610) 337-4114
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 18 organizations under Medicare reassignment (form CMS-855R): Myeyedr Optometry Of Pennsylvania, LLC (NPI 1184421919, Newtown Square, PA); Tml Vision Care, LLC (NPI 1275806929, East Hanover, NJ); Riverdale Vision Care, P.A. (NPI 1255581609, Riverdale, NJ); 200 West Optics, LLC (NPI 1205787520, New York, NY); Empire Vision Center Inc (NPI 1750358826, Syracuse, NY); and 13 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania College Of Optometry, class of 2013
## Record status
- **NPPES last updated:** December 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013355288) · Data from the CMS NPPES public registry.