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HAVISH RAMNIKLAL BHALANI O.D.
NPI 1225443062
Optometrist in Fredericksburg, VA

Active since June 30, 2014PECOS EnrolledAccepts Medicare Assignment
1871 CARL D SILVER PKWY, UNIT 1113, FREDERICKSBURG, VA 22401(540) 786-8081 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Havish Ramniklal Bhalani O.d. NPPES

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

HAVISH RAMNIKLAL BHALANI O.D. (NPI 1225443062) is an individual optometrist in Fredericksburg, Virginia, licensed in Virginia (0618002347) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2014).

NPPES Registry Identity

NPI1225443062
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameHAVISH RAMNIKLAL BHALANICredential: O.D.
Location Address1871 CARL D SILVER PKWY, UNIT 1113Fredericksburg, VA 22401-4969
Mailing Address10 Country CtStafford, VA 22554-8812 · (540) 846-2202
Phone(540) 786-8081
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2014
Enumeration DateJune 30, 2014
✔ NPI 1225443062 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 VA · 0618002347
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.
1871 CARL D SILVER PKWY, Fredericksburg, VA 22401
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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

Havish Ramniklal Bhalani 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 ID2668799297
PECOS Enrollment IDI20201019000029
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.

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.
64 services64 patients
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.
32 services32 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services23 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.
22 services18 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
19 services14 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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. SUKHMANI K BASRA O.D.
Optometrist
1871 CARL D SILVER PKWY
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 786-8081
AMERICA'S BEST CONTACTS & EYEGLASSES
Technician/Technologist (Optician)
1871 CARL D SILVER PKWY
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 786-8081

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 Havish Bhalani's NPI number?

The NPI number for Havish Bhalani is 1225443062. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Havish Bhalani located?

Havish Bhalani practices at 1871 Carl D Silver Pkwy Unit 1113, Fredericksburg, VA 22401. The listed phone number is (540) 786-8081.

What is Havish Bhalani's specialty?

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

Is Havish Bhalani enrolled in Medicare?

Yes. Havish Bhalani 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 Havish Bhalani 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 3 other insurers list Havish Bhalani 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 Havish Bhalani was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.