Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nikhil Deep Bansal, OD

Individual provider Optometrist · NPI 1215538061

Nikhil Deep Bansal, OD is an Optometry in Philadelphia, Pennsylvania. Graduated from Pennsylvania College of Optometry in 2020, 6 years ago. Practices with Drexel University, a 80-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Trained at
Pennsylvania College of Optometry
Licensed in
PA
In the registry since
2020
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone: (215) 276-6000
Fax: (215) 276-1329
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OEG003834 (PA)

Record details

NPI number1215538061
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedNovember 6, 2020
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024
Mailing address1200 W Godfrey Ave, Philadelphia, PA 19141-3323

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2020 (6 years in practice)
Group practice Drexel University — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Philadelphia