Individual provider Active NPI

Sepideh Pourpirali Sabet, OD

  • Optometrist
  • Ferndale, WA
National Provider Identifier
1366907321
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60963237 Issued in WA
Practice address
1815 Main St Ste 101
Ferndale, WA 98248-9454
Phone
(360) 746-8890
Fax
(360) 393-4004
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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 OD60963237 WA Primary

Addresses

Primary practice location

1815 Main St Ste 101
Ferndale, WA 98248-9454

Mailing address

3820 Del Bonita Way
Bellingham, WA 98226-8858
Phone (360) 296-1283

Other practice location 1

3820 Del Bonita Way
Bellingham, WA 98226-8858
Phone (360) 296-1283

Other identifiers 1

IdentifierTypeStateIssuer
2155649MedicaidWA

Other names 1

  • Sepideh Pourpirali Rishel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20200221001262 WA Practitioner - Optometry 8224465794 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt. Baker Vision ClincGroup PAC ID 2860380094, 6 clinicians

Practice addresses (Care Compare)

720 Birchwood Ave
Bellingham, WA 98225-1714
Phone (360) 733-1720

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60963237WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mt. Baker Vision Clinc Optometrist CurrentSince Dec 9, 2024 Accepting new patients
Vision Plus Inside Ferndale Haggen Optometrist CurrentSince Feb 1, 2020 Accepting new patients
Eyeco Optometry PS Optometrist CurrentSince Feb 1, 2020 Accepting new patients
Vision Plus in Lynden Optometrist CurrentSince Feb 1, 2020 Accepting new patients

Locations

2520 James St
Bellingham, WA 98225
Phone (360) 393-4000

720 Birchwood Ave
Bellingham, WA 98225
Phone (360) 733-1720

1887 Main St
Ste 101
Ferndale, WA 98248
Phone (360) 255-0555

1815 Main St
#101
Ferndale, WA 98248
Phone (360) 746-8890

1815 Main St
Ferndale, WA 98248
Phone (360) 380-7210

1610 Grover St
Lynden, WA 98264
Phone (360) 733-1720

1824 Front St
Ste B
Lynden, WA 98264
Phone (360) 933-1815

Organizations & group practices 4

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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1366907321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 DEL BONITA WAY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268858",
            "telephone_number": "360-296-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 MAIN ST STE 101",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489454",
            "telephone_number": "360-746-8890",
            "fax_number": "360-393-4004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3820 Del Bonita Way",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982268858",
            "country_code": "US",
            "telephone_number": "360-296-1283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABET",
        "first_name": "SEPIDEH",
        "middle_name": "POURPIRALI",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60963237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2155649",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEPIDEH",
            "last_name": "RISHEL",
            "middle_name": "POURPIRALI",
            "credential": "SEPIDEH POURPIRALI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ferndale, WA

Sources for this page

Verify at the official NPI Registry.