Prabhpal Kaur Sandhu

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005845 Issued in MI

Practice address

19195 West Rd
Woodhaven, MI 48183-3315

Phone

(734) 365-0934

NPI assigned

Dec 20, 2024

Last updated

Feb 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Vision Institute PLLCGroup PAC ID 1658317748, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Michigan Vision Institute PLLC

  dba Michigan Vision Institute

  • Ophthalmology Physician
  • Flint, MI
  • NPI 1780746081

  Optometrist

  Medicare reassignment Care Compare group NPD
• National Vision Inc

  dba America's Best Contacts & Eyeglasses

  • Optometrist
  • Woodhaven, MI
  • NPI 1841914975
  NPD

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1427866607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 FOXCREEK DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19195 WEST RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481833315",
            "telephone_number": "734-365-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "PRABHPAL",
        "middle_name": "KAUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Therese Saborio, MA,LLP,QMRP,CMHP
• Saim S Choudhry PLLC
• Tonya Saint Onge, LPTA
• Mayer Salama, DPM
• Scott David Sample, MASTERS OF ARTS
• Lyndsey Lorren Sass, PHARMD
• Erika N Saunders, OT
• Sav on Home Healthcare Supply Inc
• Marie-Soleil Chantal Sawka, FNP
• Mark W Sawka, MD

• Optometrist in Woodhaven, MI
• Providers in Woodhaven, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.