DR. SIMRAN SETHI O.D.
NPI 1912361544
Optometrist in Hoboken, NJ

Active since April 10, 2016PECOS EnrolledAccepts Medicare Assignment
333 RIVER ST, 319, HOBOKEN, NJ 07030(917) 821-6912 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 25, 2023, Jul 27, 2023 (2 updates tracked since 2023).

About Dr. Simran Sethi O.d. NPPES

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

DR. SIMRAN SETHI O.D. (NPI 1912361544) is an individual optometrist in Hoboken, New Jersey, licensed in New York (008369) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tallahassee, and is a graduate of State University Of New York - State College Optometry (2015).

NPPES Registry Identity

NPI1912361544
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SIMRAN SETHICredential: O.D.
Location Address333 RIVER ST, 319Hoboken, NJ 07030-5856
Mailing Address333 River St, 319Hoboken, NJ 07030-5856 · (917) 821-6912
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 2015
Enumeration DateApril 10, 2016
Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1912361544 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 NY · 008369✔ Licensed in PA · OEG004002✔ Licensed in FL · TPOP134✔ Licensed in CO · OPT.0003860
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.
333 RIVER ST, Hoboken, NJ 07030

Secondary Practice Location 1

Location 11480 Timberlane RdTallahassee, FL 32312-1713 · Phone (850) 893-4687 · Fax (850) 893-9987

Accepted 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. Simran Sethi 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 ID4981999224
PECOS Enrollment IDI20230828001311, I20231003001336, I20240125003300, I20251219001603, I20251226000632
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

9

Medicare enrollment records show Simran Sethi reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
99 BATTERY PL FRNT A
New York, NY 10280
  • Reassigned Medicare billing, New York enrollment
  • 95 clinicians in this Medicare group
Optometrist
453 S OXFORD VALLEY RD
Fairless Hills, PA 19030
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 262 clinicians in this Medicare group
Optometrist
500 TERRY RICH BLVD
Saint Clair, PA 17970
Optometrist
360 E PULASKI HWY, 1B
Elkton, MD 21921
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1467843516 (District of Columbia)
  • 253 clinicians in this Medicare group
Optometrist
1400 N WAYNE ST STE F
Angola, IN 46703
  • Reassigned Medicare billing, Indiana enrollment
  • 162 clinicians in this Medicare group
Optometrist
503 FURYS FERRY RD
Martinez, GA 30907
  • Reassigned Medicare billing, Georgia enrollment
  • 210 clinicians in this Medicare group
Optometrist
217 6TH ST
Racine, WI 53403
  • Reassigned Medicare billing, Wisconsin enrollment
  • 102 clinicians in this Medicare group
Optometrist
13170 ATLANTIC BLVD, #53
Jacksonville, FL 32225
  • Reassigned Medicare billing, Florida enrollment
  • 322 clinicians in this Medicare group
Optometrist
2108 35TH AVE STE A
Greeley, CO 80634
  • Reassigned Medicare billing, Colorado enrollment
  • 120 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07030 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 2

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

Speech-Language Pathologist
333 RIVER ST, APARTMENT 928
HOBOKEN, NJ 07030
Social Worker (Clinical)
333 RIVER ST, SUITE 948
HOBOKEN, NJ 07030

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 Simran Sethi's NPI number?

The NPI number for Simran Sethi is 1912361544. It was assigned to this individual provider in the NPPES registry on April 10, 2016.

Where is Simran Sethi located?

Simran Sethi practices at 333 River St 319, Hoboken, NJ 07030. The listed phone number is (917) 821-6912.

What is Simran Sethi's specialty?

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

Is Simran Sethi enrolled in Medicare?

Yes. Simran Sethi 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 Simran Sethi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simran Sethi reassigns Medicare benefits to 9 organizations: 200 West Optics, LLC (New York, NY), Myeyedr Optometry Of Pennsylvania, LLC (Fairless Hills, PA), Ellington Eyecare PLLC (Saint Clair, PA), Myeyedr Optometry Of Maryland, LLC (Elkton, MD), Myeyedr Optometry Of Indiana, LLC (Angola, IN) and 4 more organizations, listed in the Medicare section above. 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 Simran Sethi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Simran Sethi accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Superior HealthPlan, Ambetter of Alabama and Ambetter of North Carolina and 22 other insurers list Simran Sethi 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 Simran Sethi was last updated on October 25, 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.