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DR. JEFFREY M FANELLI OD
NPI 1831153881
Optometrist in San Jose, CA

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
1817 HAMILTON AVE, SAN JOSE, CA 95725(408) 264-1555(408) 264-1562 Get Directions Write a Review

NPPES record last updated: May 25, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Jeffrey M Fanelli Od NPPES

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

DR. JEFFREY M FANELLI OD (NPI 1831153881) is an individual optometrist in San Jose, California, licensed in California (OPT 8168 TPL) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1984).

NPPES Registry Identity

NPI1831153881
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JEFFREY M FANELLICredential: OD
Location Address1817 HAMILTON AVESan Jose, CA 95725
Mailing Address1412 Arroyo Seco DrCampbell, CA 95008 · (408) 559-4517
Phone(408) 264-1555
Fax(408) 264-1562
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1984
Enumeration DateApril 14, 2006
Last NPPES UpdateMay 25, 2011
✔ NPI 1831153881 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 CA · OPT 8168 TPL
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.
1817 HAMILTON AVE, San Jose, CA 95725
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Other Identifiers 2

Medicare ID-Type UnspecifiedS00081680
Medicare UPINT10657

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

Dr. Jeffrey M Fanelli 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 ID1052465937
PECOS Enrollment IDI20090811000623
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 Reassignment

Medicare enrollment records show Jeffrey Fanelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Larry R Fabian & Jeffrey M Fannelli Ptrs Westside Family Vision Center
Same address
Optometrist
1817 HAMILTON AVENUE
San Jose, CA 95125
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Larry R Fabian & Jeffrey M Fanelli Ptrs Westside Family Vision Center
  • 5 clinicians in this Medicare group
NPI 1518061159 (408) 264-1555

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.

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.
62 services62 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.
60 services60 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.
27 services25 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
22 services19 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).
12 services11 patients

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 Jeffrey Fanelli's NPI number?

The NPI number for Jeffrey Fanelli is 1831153881. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Jeffrey Fanelli located?

Jeffrey Fanelli practices at 1817 Hamilton Ave, San Jose, CA 95725. The listed phone number is (408) 264-1555.

What is Jeffrey Fanelli's specialty?

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

Is Jeffrey Fanelli enrolled in Medicare?

Yes. Jeffrey Fanelli 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 organization bills Medicare for Jeffrey Fanelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Fanelli reassigns Medicare benefits to Larry R Fabian & Jeffrey M Fannelli Ptrs Westside Family Vision Center (San Jose, CA). The 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 Jeffrey Fanelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Fanelli 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 1 other insurer list Jeffrey Fanelli 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 Jeffrey Fanelli was last updated on May 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.