Individual provider Active NPI

Ramandeep Sandhu, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1356896500
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008503 Issued in NY
Practice address
66 Court St
Brooklyn, NY 11201-4905
Phone
(718) 625-0025
NPI assigned
Aug 17, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008503 NY Primary

Addresses

Primary practice location

66 Court St
Brooklyn, NY 11201-4905

Mailing address

66 Court St
Brooklyn, NY 11201-4905
Phone (718) 625-0025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20171201001112 NY Practitioner - Optometry 8921365842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7602 5TH Ave
Brooklyn, NY 11209-3304
Phone (718) 238-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
5TH Avenue Vision Center LLC Optometrist CurrentSince Jun 6, 2018 Accepting new patients
Grand Vision Optometry P.C. Optometrist PastSince Jun 6, 2018 Accepting new patients

Locations

5818 5th Ave
Brooklyn, NY 11220
Phone (718) 439-8440

Organizations & group practices 3

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": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1356896500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014905",
            "telephone_number": "718-625-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014905",
            "telephone_number": "718-625-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "RAMANDEEP",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.