Individual provider Active NPI

Vasudha Bhutani, O.D.

  • Vision Therapy Optometrist
  • Encino, CA
National Provider Identifier
1376682542
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
ME1525142 Issued in CA
Practice address
6345 Balboa Blvd
BLDG 3, Suite 250
Encino, CA 91316-1519
Phone
(818) 344-3937
Fax
(818) 344-1229
NPI assigned
Feb 5, 2007
Last updated
Mar 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X ME1525142 CA Primary

Addresses

Primary practice location

6345 Balboa Blvd
BLDG 3, Suite 250
Encino, CA 91316-1519

Mailing address

6345 Balboa Blvd
BLDG 3, Suite 250
Encino, CA 91316-1519
Phone (818) 344-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090305000145 CA Practitioner - Optometry 6103982848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A and B Professional Optometry CorporationGroup PAC ID 8325306442, 2 clinicians

Practice addresses (Care Compare)

3869 Stockdale Hwy
Bakersfield, CA 93309-2188
Phone (661) 831-8952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ME1525142CAMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John T Lindquist O.D. a Professional Corporation Past Accepting new patients
Joseph & Nace Optometric Corporation Vision Therapy PastSince Aug 8, 2021 Accepting new patients
Gary L Etting OD an Optometric Corp Vision Therapy PastSince Aug 3, 2014 Accepting new patients
Scripps Health Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1376682542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 BALBOA BLVD",
            "address_2": "BLDG 3, SUITE 250",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161519",
            "telephone_number": "818-344-3937",
            "fax_number": "818-344-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 BALBOA BLVD",
            "address_2": "BLDG 3, SUITE 250",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161519",
            "telephone_number": "818-344-3937",
            "fax_number": "818-344-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUTANI",
        "first_name": "VASUDHA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "ME1525142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.