SHEILA MAYANI OD
NPI 1346930435
Optometrist in Dover, DE

Active since May 11, 2023PECOS EnrolledAccepts Medicare Assignment
1404 FORREST AVE STE 1, DOVER, DE 19904(302) 346-2020 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2024, Jun 16, 2023, Jun 5, 2023 and 1 more (4 updates tracked since 2023).

About Sheila Mayani Od NPPES

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

SHEILA MAYANI OD (NPI 1346930435) is an individual optometrist in Dover, Delaware, licensed in Delaware (I3-0011470) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2021).

NPPES Registry Identity

NPI1346930435
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSHEILA MAYANICredential: OD
Location Address1404 FORREST AVE STE 1Dover, DE 19904-3478
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2021
Enumeration DateMay 11, 2023
Last NPPES UpdateApril 2, 20244 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
NPI 1346930435 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 DE · I3-0011470 Licensed in WA · 61408133 Licensed in PA · OEG003996
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.
1404 FORREST AVE STE 1, Dover, DE 19904

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

Sheila Mayani 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 ID941669337
PECOS Enrollment IDI20240417004311
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 2

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.
39 services32 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19904 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

Student in an Organized Health Care Education/Training Program
1404 FORREST AVE STE 1
DOVER, DE 19904
Optometrist
1404 FORREST AVE STE 1
DOVER, DE 19904
Optometrist
1404 FORREST AVE STE 1
DOVER, DE 19904
Optometrist
1404 FORREST AVE STE 1
DOVER, DE 19904
Optometrist
1404 FORREST AVE STE 1
DOVER, DE 19904

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 Sheila Mayani's NPI number?

The NPI number for Sheila Mayani is 1346930435. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is Sheila Mayani located?

Sheila Mayani practices at 1404 Forrest Ave Ste 1, Dover, DE 19904. The listed phone number is (302) 346-2020.

What is Sheila Mayani's specialty?

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

Is Sheila Mayani enrolled in Medicare?

Yes. Sheila Mayani 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 Sheila Mayani accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter from NH Healthy Families and 9 other insurers list Sheila Mayani 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 Sheila Mayani was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.