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NATALIE VELAZQUEZ O.D.
NPI 1235239591
Optometrist in Passaic, NJ

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
90.79/100
CMS Quality Rating
222 MAIN AVE, PASSAIC, NJ 07055(973) 778-4662(973) 778-3427 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2023, Aug 28, 2020 (2 updates tracked since 2020).

About Natalie Velazquez O.d. NPPES

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

NATALIE VELAZQUEZ O.D. (NPI 1235239591) is an individual optometrist in Passaic, New Jersey, licensed in New Jersey (OA00602000) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1235239591
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameNATALIE VELAZQUEZCredential: O.D.
Location Address222 MAIN AVEPassaic, NJ 07055-5524
Mailing Address222 Main AvePassaic, NJ 07055-5524 · (973) 778-4662 · Fax (973) 778-3427
Phone(973) 778-4662
Fax(973) 778-3427
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 25, 2006
Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
✔ NPI 1235239591 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 · OA00602000
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.
222 MAIN AVE, Passaic, NJ 07055
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Natalie Velazquez 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 ID3971500919
PECOS Enrollment IDI20070403000380
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Natalie Velazquez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Natalie Velazquez Od And Associates Inc
Same address
Optometrist
222 MAIN AVE
Passaic, NJ 07055
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1023262342 (973) 778-4662
Eye Centers Of America, LLC
3.0 mi
Ophthalmology
1255 BROAD ST STE 104
Bloomfield, NJ 07003
  • Reassigned Medicare billing, New Jersey enrollment
  • 137 clinicians in this Medicare group
NPI 1649563636 (973) 707-5632
Garita Vision Center, LLC
7.0 mi
Optometrist
7418 BERGENLINE AVE
North Bergen, NJ 07047
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1639246788 (201) 868-1886
Paul Naftali O D P A
16 mi
Corneal and Contact Management
311 MAIN ST
Madison, NJ 07940
  • Reassigned Medicare billing, New Jersey enrollment
  • 8 clinicians in this Medicare group
NPI 1508053760 (973) 377-1060

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 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.

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.
24 services24 patients
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.
23 services16 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
15 services15 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.
13 services13 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07055 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

90.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.51
Promoting Interoperability100
Improvement Activities40
Cost69.8

Other Providers at the Same Location NPPES

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

NATALIE VELAZQUEZ OD AND ASSOCIATES INC
Optometrist
222 MAIN AVE
PASSAIC, NJ 07055
Passaic County (973) 778-4662

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 Natalie Velazquez's NPI number?

The NPI number for Natalie Velazquez is 1235239591. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Natalie Velazquez located?

Natalie Velazquez practices at 222 Main Ave, Passaic, NJ 07055. The listed phone number is (973) 778-4662.

What is Natalie Velazquez's specialty?

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

Is Natalie Velazquez enrolled in Medicare?

Yes. Natalie Velazquez 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 organizations bill Medicare for Natalie Velazquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Natalie Velazquez reassigns Medicare benefits to 4 organizations: Natalie Velazquez Od And Associates Inc (Passaic, NJ), Eye Centers Of America, LLC (Bloomfield, NJ), Garita Vision Center, LLC (North Bergen, NJ) and Paul Naftali O D P A (Madison, NJ). Each 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 Natalie Velazquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Natalie Velazquez 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 9 other insurers list Natalie Velazquez 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 Natalie Velazquez was last updated on August 14, 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.