1. Home
  2. Directory
  3. New Jersey
  4. Manchester
  5. Optometrist
  6. NPI Profile

DR. BANSI M PATEL OD
NPI 1215656954
Optometrist in Manchester, NJ

Active since August 25, 2022PECOS EnrolledAccepts Medicare Assignment
1021 ROUTE 70, MANCHESTER, NJ 08759(732) 657-1400 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2023, Sep 9, 2022, Aug 25, 2022 (3 updates tracked since 2022).

About Dr. Bansi M Patel Od NPPES

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

DR. BANSI M PATEL OD (NPI 1215656954) is an individual optometrist in Manchester, New Jersey, licensed in New Jersey (27OA00715400) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of State University Of New York - State College Optometry (2022).

NPPES Registry Identity

NPI1215656954
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. BANSI M PATELCredential: OD
Location Address1021 ROUTE 70Manchester, NJ 08759-5804
Mailing AddressPo Box 208944Dallas, TX 75320-8944 · (636) 200-4393 · Fax (636) 527-0766
Phone(732) 657-1400
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2022
Enumeration DateAugust 25, 2022
Last NPPES UpdateJanuary 5, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
✔ NPI 1215656954 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 NJ · 27OA00715400
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.
1021 ROUTE 70, Manchester, NJ 08759
Open in Google Maps ↗

Secondary Practice Locations 7

Location 13013 Highway 35Hazlet, NJ 07730-1526 · Phone (732) 739-4000 · Fax (732) 739-4002
Location 235 Monmouth StRed Bank, NJ 07701-1613 · Phone (732) 530-5151 · Fax (732) 842-6629
Location 3359 Brick BlvdBrick, NJ 08723-6010 · Phone (732) 920-1330 · Fax (732) 920-1370
Location 4443 Route 34 Ste FMatawan, NJ 07747-9506 · Phone (732) 583-3600 · Fax (732) 812-4508
Location 52204 Highway 35 Ste 9Sea Girt, NJ 08750-2323 · Phone (732) 223-2800 · Fax (732) 223-5121
Location 6178 Highway 35Eatontown, NJ 07724-1883 · Phone (732) 542-3050 · Fax (732) 542-5999
Location 7786 Highway 35Middletown, NJ 07748-3410 · Phone (732) 671-7300 · Fax (732) 706-1605

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Bansi M Patel Od 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 ID2961887229
PECOS Enrollment IDI20220922002052
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 6

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
81 services77 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services46 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.
36 services36 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
30 services30 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
14 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08759 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

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.

DR. DONNA MARIE MALLOY O.D.
Optometrist
1021 ROUTE 70
MANCHESTER, NJ 08759
Ocean County (732) 657-1400
KATERYNA MESKIN OD
Optometrist
1021 ROUTE 70
MANCHESTER, NJ 08759
Ocean County (732) 657-1400

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 Bansi Patel's NPI number?

The NPI number for Bansi Patel is 1215656954. It was assigned to this individual provider in the NPPES registry on August 25, 2022.

Where is Bansi Patel located?

Bansi Patel practices at 1021 Route 70, Manchester, NJ 08759. The listed phone number is (732) 657-1400.

What is Bansi Patel's specialty?

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

Is Bansi Patel enrolled in Medicare?

Yes. Bansi Patel 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 Bansi Patel accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Bansi Patel 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 Bansi Patel was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.