DR. NAIYA PANCHAL O.D
NPI 1225573579
Optometrist in Marshall, MI

Q: What is Naiya Panchal's NPI number?

The NPI number for Naiya Panchal is 1225573579. It was assigned to this individual provider in the NPPES registry on December 22, 2016.

Q: What is Naiya Panchal's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Naiya Panchal was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 22, 2016PECOS EnrolledAccepts Medicare Assignment

830 W MICHIGAN AVE, MARSHALL, MI 49068(269) 781-9822(269) 781-3622 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2026, Sep 20, 2018, Feb 11, 2017 and 1 more (4 updates tracked since 2016).

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About Dr. Naiya Panchal O.d NPPES

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

DR. NAIYA PANCHAL O.D (NPI 1225573579) is an individual optometrist in Marshall, Michigan, licensed in Michigan (4901005026) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Illinois College Of Optometry At Chicago (2016).

NPPES Registry Identity

NPI1225573579

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. NAIYA PANCHALCredential: O.D

Location Address830 W MICHIGAN AVEMarshall, MI 49068

Mailing Address702 W Lake Lansing RdEast Lansing, MI 48823-8526 · (517) 337-0316 · Fax (517) 622-1205

Phone(269) 781-9822

Fax(269) 781-3622

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2016

Enumeration DateDecember 22, 2016

Last NPPES UpdateMarch 24, 20264 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1225573579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in MI · 4901005026✔ Licensed in IL · 046011075

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.

830 W MICHIGAN AVE, Marshall, MI 49068

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Secondary Practice Locations 5

Location 1830 W Michigan AveMarshall, MI 49068 · Phone (269) 781-9822 · Fax (269) 781-3622

Location 26650 S Westnedge Ave Ste 232Portage, MI 49024-3503 · Phone (269) 327-2881

Location 32001 Coolidge RdEast Lansing, MI 48823 · Phone (517) 337-1668 · Fax (517) 337-1779

Location 43600 Capital Ave SWBattle Creek, MI 49015 · Phone (269) 979-6383 · Fax (269) 979-6381

Location 51060 N 10th StKalamazoo, MI 49009-6113 · Phone (269) 353-9700

Other Identifiers 1

Medicaid1225573579MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Naiya Panchal 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 ID8527343847

PECOS Enrollment IDI20170328001345

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 5

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.

114 services113 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.

108 services71 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

53 services40 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.

36 services36 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49068 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 5

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

BRADLEY JAMES RUNYON O.D.

Optometrist