DR. SONYA SHETH O.D.
NPI 1144398645
Optometrist in Stoneham, MA
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
Specialties & Licenses
Other Names 1
Other Identifiers 2
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. 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.
Medicare Billing Reassignment
Medicare enrollment records show Sonya Sheth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stoneham, MA 02180
- Reassigned Medicare billing, Massachusetts enrollment
- 8 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.
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.
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.
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.
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.
STONEHAM, MA 02180
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.
Which organization bills Medicare for Sonya Sheth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sonya Sheth reassigns Medicare benefits to Clear Vision Eye Center,inc (Stoneham, MA). The 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 Sonya Sheth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sonya Sheth accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas 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.
# Dr. Sonya Sheth, O.D. · NPI 1144398645
Optometrist provider in Stoneham, Massachusetts. Individual provider, active in the CMS NPPES registry since December 1, 2006.
## Identity
- **NPI:** 1144398645 (Entity type: Individual)
- **Enumerated:** December 1, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 46009351 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3 WOODLAND RD STE 120, Stoneham, MA 02180-1710
- **Phone:** (781) 979-0960 · **Fax:** (781) 979-0618
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Clear Vision Eye Center,inc (NPI 1063605251, Stoneham, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** April 9, 2018
- **Other identifiers:** Other 4125001 (IL); Medicaid 046009351 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1144398645) · Data from the CMS NPPES public registry.