Individual provider Active NPI

Julie Kaur Bhalla, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1003463654
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009041 Issued in NY
Practice address
1209 Lexington Ave
New York, NY 10028-1404
Phone
(646) 757-2290
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009041 NY Primary

Addresses

Primary practice location

1209 Lexington Ave
New York, NY 10028-1404

Mailing address

30 Perry Bay
Winnipeg, MB R2C3Y4
CA

Other practice location 1

819 Washington St
New York, NY 10014-1405
Phone (646) 517-5227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TUV009041NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Warby Parker Inc. Past Accepting new patients
Warby Parker Inc. PastSince Aug 25, 2019 Accepting new patients

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1003463654",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "30 PERRY BAY",
            "city": "WINNIPEG",
            "state": "MB",
            "postal_code": "R2C3Y4"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281404",
            "telephone_number": "646-757-2290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 Washington St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100141405",
            "country_code": "US",
            "telephone_number": "646-517-5227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHALLA",
        "first_name": "JULIE",
        "middle_name": "KAUR",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.