Active NPI
Julie Kaur Bhalla, OD
- Optometrist
- New York, NY
National Provider Identifier
1003463654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV009041
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| TUV009041 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warby Parker Inc. | Past | Accepting new patients | |
| Warby Parker Inc. | Past | 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.
-
- Eyewear Supplier
- New York, NY
- NPI 1417474537
-
- Eyewear Supplier
- New York, NY
- NPI 1982121000
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.