Individual provider Active NPI

Nilupul Bulathsinhala, OD

  • Optometrist
  • Cypress, TX
National Provider Identifier
1265169791
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1955-901AT Issued in LA
Practice address
14623 Timber Cliff LN
Cypress, TX 77429-1748
Phone
(832) 642-1708
NPI assigned
Aug 4, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1955-901AT LA Primary

Addresses

Primary practice location

14623 Timber Cliff LN
Cypress, TX 77429-1748

Mailing address

14623 Timber Cliff LN
Cypress, TX 77429-1748
Phone (832) 642-1708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220907001004 LA Practitioner - Optometry 7517341746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Robert Janot LLCGroup PAC ID 5698876910, 2 clinicians

Practice addresses (Care Compare)

3817 Maplewood Dr
Sulphur, LA 70663-6349
Phone (337) 625-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1955-901ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Robert Janot LLC Optometrist CurrentSince Sep 1, 2022 Accepting new patients

Locations

3817 Maplewood Dr
Sulphur, LA 70663
Phone (337) 625-2020

Organizations & group practices 1

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": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1265169791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14623 TIMBER CLIFF LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291748",
            "telephone_number": "832-642-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14623 TIMBER CLIFF LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291748",
            "telephone_number": "832-642-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULATHSINHALA",
        "first_name": "NILUPUL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1955-901AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.