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DR. SONYA SHETH O.D.
NPI 1144398645
Optometrist in Stoneham, MA

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
87.9/100
CMS Quality Rating
3 WOODLAND RD STE 120, STONEHAM, MA 02180(781) 979-0960(781) 979-0618 Get Directions Write a Review

NPPES record last updated: April 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sonya Sheth O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SONYA SHETH O.D. (NPI 1144398645) is an individual optometrist in Stoneham, Massachusetts, licensed in Illinois (46009351) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1144398645
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SONYA SHETHCredential: O.D.
Location Address3 WOODLAND RD STE 120Stoneham, MA 02180-1710
Mailing Address3 Woodland Rd Ste 120Stoneham, MA 02180-1710 · (781) 979-0960 · Fax (781) 979-0618
Phone(781) 979-0960
Fax(781) 979-0618
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 1, 2006
Last NPPES UpdateApril 9, 2018
✔ NPI 1144398645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 46009351
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3 WOODLAND RD STE 120, Stoneham, MA 02180
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Other Names 1

Former Name (1)Dr. Sonya Patel O.d.

Other Identifiers 2

Other4125001IL · Medicare Ptan
Medicaid046009351IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sonya Sheth 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.

PECOS PAC ID7911891064
PECOS Enrollment IDI20170303001276
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
44 services35 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost57.14

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLEAR VISION OPTOMETRY LLC
Optometrist
3 WOODLAND RD STE 120
STONEHAM, MA 02180
Middlesex County (781) 979-0960
CLEAR VISION EYE CENTER,INC
Ophthalmology (Cornea and External Diseases Specialist)
3 WOODLAND RD STE 120
STONEHAM, MA 02180
Middlesex County (781) 979-0961

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 Sonya Sheth's NPI number?

The NPI number for Sonya Sheth is 1144398645. It was assigned to this individual provider in the NPPES registry on December 1, 2006. The provider is also known as Dr. Sonya Patel O.D..

Where is Sonya Sheth located?

Sonya Sheth practices at 3 Woodland Rd Ste 120, Stoneham, MA 02180. The listed phone number is (781) 979-0960.

What is Sonya Sheth's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Sonya Sheth enrolled in Medicare?

Yes. Sonya Sheth 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.

What insurance does Sonya Sheth accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Sonya Sheth 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 Sonya Sheth was last updated on April 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.