1. Home
  2. Directory
  3. New York
  4. Shoreham
  5. Optometrist
  6. NPI Profile

DR. POOJA BERDIA OD
NPI 1467930370
Optometrist in Shoreham, NY

Active since August 02, 2018PECOS Enrolled
8 WILLIMATIC CT, SHOREHAM, NY 11786(631) 335-7250 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 29, 2021, Aug 2, 2018 (2 updates tracked since 2018).

About Dr. Pooja Berdia Od NPPES

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

DR. POOJA BERDIA OD (NPI 1467930370) is an individual optometrist in Shoreham, New York, licensed in New York (TUV008790) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1467930370
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. POOJA BERDIACredential: OD
Location Address8 WILLIMATIC CTShoreham, NY 11786-2018
Mailing Address999 Corporate DrWestbury, NY 11590-6614 · (516) 493-4410
Phone(631) 335-7250
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 2, 2018
Last NPPES UpdateFebruary 12, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
✔ NPI 1467930370 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 NY · TUV008790
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.
8 WILLIMATIC CT, Shoreham, NY 11786
Open in Google Maps ↗

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 (PECOS)

Dr. Pooja Berdia Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638420870
PECOS Enrollment IDI20180926003042
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

2

Medicare enrollment records show Pooja Berdia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sight Medical Doctors PLLC
19 mi
Ophthalmology
125 KENNEDY DR STE 400
Hauppauge, NY 11788
  • Reassigned Medicare billing, New York enrollment
  • 164 clinicians in this Medicare group
NPI 1487077483 (855) 295-4144
Big Apple Optometry, PC
39 mi
Optometrist
999 CORPORATE DR
Westbury, NY 11590
  • Reassigned Medicare billing, New York enrollment
NPI 1437831229 (631) 335-7250

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 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.

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.
34 services34 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.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11786 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Pooja Berdia's NPI number?

The NPI number for Pooja Berdia is 1467930370. It was assigned to this individual provider in the NPPES registry on August 2, 2018.

Where is Pooja Berdia located?

Pooja Berdia practices at 8 Willimatic Ct, Shoreham, NY 11786. The listed phone number is (631) 335-7250.

What is Pooja Berdia's specialty?

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

Is Pooja Berdia enrolled in Medicare?

Yes. Pooja Berdia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pooja Berdia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Berdia reassigns Medicare benefits to 2 organizations: Sight Medical Doctors PLLC (Hauppauge, NY) and Big Apple Optometry, PC (Westbury, NY). 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 Pooja Berdia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pooja Berdia 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 2 other insurers list Pooja Berdia 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 Pooja Berdia was last updated on February 12, 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.