DR. VIPUL K LAKHANI MD
NPI 1982689303
Ophthalmology in Toms River, NJ

Active since December 08, 2005PECOS EnrolledAccepts Medicare Assignment
99.47/100
CMS Quality Rating
413 LAKEHURST RD BLDG 1, TOMS RIVER, NJ 08755(732) 244-4322(732) 244-4320 Get Directions Write a Review

NPPES record last updated: June 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Vipul K Lakhani Md NPPES

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

DR. VIPUL K LAKHANI MD (NPI 1982689303) is an individual ophthalmology provider in Toms River, New Jersey, licensed in New Jersey (25MA06737500) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of State University Of New York Downstate Medical Center (1992).

NPPES Registry Identity

NPI1982689303
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. VIPUL K LAKHANICredential: MD
Location Address413 LAKEHURST RD BLDG 1Toms River, NJ 08755-7382
Mailing Address4 Air Dancer LnColts Neck, NJ 07722-1817 · (732) 244-4322 · Fax (732) 244-4320
Fax(732) 244-4320
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1992
Enumeration DateDecember 8, 2005
Last NPPES UpdateJune 19, 2015
NPI 1982689303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · 25MA06737500
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

413 LAKEHURST RD BLDG 1, Toms River, NJ 08755

Other Identifiers 12

Other205532826NJ · Horizon Bc Bs
Medicaid8037001NJ
Other1394163Aetna
Medicare PIN010737NAQNJ
OtherP2008161NJ · Oxford
Other001752654Apwu
Other205532826Qualcare
Other205532826United Healthcare
Medicare PIN027381NJ
Other205532826Cigna
OtherDF3909NJ · Railroad Medicare
Medicare UPING57459

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. Vipul K Lakhani Md 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 ID4082503719
PECOS Enrollment IDI20040311001102
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 40

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
1,713 services969 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.
1,450 services1,280 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.
1,323 services1,265 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.
1,120 services1,007 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
897 services374 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
860 services823 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.37
Improvement Activities40

Other Providers at the Same Location NPPES

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

Ophthalmology
413 LAKEHURST RD BLDG 1
TOMS RIVER, NJ 08755

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 Vipul Lakhani's NPI number?

The NPI number for Vipul Lakhani is 1982689303. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Vipul Lakhani located?

Vipul Lakhani practices at 413 Lakehurst Rd Bldg 1, Toms River, NJ 08755. The listed phone number is (732) 244-4322.

What is Vipul Lakhani's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Vipul Lakhani enrolled in Medicare?

Yes. Vipul Lakhani 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.

Is Vipul Lakhani affiliated with any hospitals?

According to CMS data, Vipul Lakhani is affiliated with Community Medical Center, Ocean Medical Center, Monmouth Medical Center-Southern Campus and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Vipul Lakhani was last updated on June 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.