DR. PAUL E. NAFTALI O.D.
NPI 1316945108
Optometrist in Madison, NJ

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
311 MAIN ST, MADISON, NJ 07940(973) 377-1060(973) 660-1133 Get Directions Write a Review

NPPES record last updated: May 16, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul E. Naftali O.d. NPPES

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

DR. PAUL E. NAFTALI O.D. (NPI 1316945108) is an individual optometrist in Madison, New Jersey, licensed in New Jersey (27OA00510800) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (1989).

NPPES Registry Identity

NPI1316945108
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PAUL E. NAFTALICredential: O.D.
Location Address311 MAIN STMadison, NJ 07940-2338
Mailing Address311 Main StMadison, NJ 07940-2338 · (201) 370-6858
Fax(973) 660-1133
Sole ProprietorNo
Medical School CMSUniversity Of California - School Of OptometryGraduated 1989
Enumeration DateJuly 14, 2005
Last NPPES UpdateMay 16, 2013
NPI 1316945108 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 · 27OA00510800
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.

311 MAIN ST, Madison, NJ 07940

Other Identifiers 2

Medicare UPINU11495NJ
Medicare ID-Type Unspecified644815NJ · Medicare Provider Number

Accepted 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. Paul E. Naftali 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 ID6305918145
PECOS Enrollment IDI20100329000216
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 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.
62 services42 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.
50 services50 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.
26 services26 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 services22 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.
21 services21 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07940 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.

Other Providers at the Same Location NPPES 3

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

Optometrist
311 MAIN ST
MADISON, NJ 07940
Optometrist
311 MAIN ST
MADISON, NJ 07940
Optometrist (Corneal and Contact Management)
311 MAIN ST
MADISON, NJ 07940

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 Paul Naftali's NPI number?

The NPI number for Paul Naftali is 1316945108. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Paul Naftali located?

Paul Naftali practices at 311 Main St, Madison, NJ 07940. The listed phone number is (973) 377-1060.

What is Paul Naftali's specialty?

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

Is Paul Naftali enrolled in Medicare?

Yes. Paul Naftali 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 Paul Naftali accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Paul Naftali 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 Paul Naftali was last updated on May 16, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.