Individual provider Active NPI

Rajbir Kaur Khehra

  • Optometrist
  • Bellingham, WA
National Provider Identifier
1003432022
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61379154 Issued in WA
Practice address
4540 Cordata Pkwy Ste 103
Bellingham, WA 98226-8059
Phone
(360) 676-8663
Fax
(360) 676-8682
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004221A IN
Optometrist 152W00000X OD61379154 WA Primary

Addresses

Primary practice location

4540 Cordata Pkwy Ste 103
Bellingham, WA 98226-8059

Mailing address

4540 Cordata Pkwy Ste 103
Bellingham, WA 98226-8059
Phone (360) 676-8663

Other practice location 1

9893 N Michigan Rd Ste 100
Carmel, IN 46032-7966
Phone (317) 872-3451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200910000240 IN Practitioner - Optometry 4183042047 Reassigns benefits to 1 organization
I20240123000743 WA Practitioner - Optometry 4183042047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10447 E US Hwy 36
Visionworks Doctors of Optometry
Avon, IN 46123-7989
Phone (317) 273-1702

1251 US Hwy 31 N
Suite K03A Visionworks Doctors of Optometry
Greenwood, IN 46142-4503
Phone (317) 883-0419

2141 Sagamore Pkwy S
Visionworks Doctors of Optometry
Lafayette, IN 47905-5109
Phone (765) 446-8010

Merit-based Incentive Payment System (MIPS)

Final score
93.46 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD61379154WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Eye Physicians PS Optometrist CurrentSince Jan 1, 2024 Accepting new patients

Locations

4540 Cordata Pkwy
Ste 103
Bellingham, WA 98226
Phone (360) 676-8663

Interoperability endpoints

  • Direct secure messaging: rkaur@bep.intellechartdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1003432022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 CORDATA PKWY STE 103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268059",
            "telephone_number": "360-676-8663",
            "fax_number": "360-676-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 CORDATA PKWY STE 103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268059",
            "telephone_number": "360-676-8663",
            "fax_number": "360-676-8682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9893 N Michigan Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460327966",
            "country_code": "US",
            "telephone_number": "317-872-3451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR KHEHRA",
        "first_name": "RAJBIR",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004221A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61379154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.