Active NPI
Palwinder Kaur
- Optometrist
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD33649TLG
- Practice address
- 7600 N Blackstone Ave
Fresno, CA 93720-4300 - Phone
- (206) 218-7642
- NPI assigned
- Mar 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD33649TLG | CA | Primary |
Addresses
Primary practice location
7600 N Blackstone Ave
Fresno, CA 93720-4300
Mailing address
22674 129TH PL SE
Kent, WA 98031-3978
Other practice location 1
2043 College Way
Forest Grove, OR 97116-1756
Phone (206) 218-7642
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3223 E Hammer LN
Stockton, CA 95212-2815
Phone (209) 244-4816
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD33649TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palwinder Kaur | Optometrist | Current | Accepting new patients |
Locations
323 W Shaw Ave
Clovis, CA 93612
Phone (559) 297-4391
7600 N Blackstone Ave
Fresno, CA 93720
Phone (206) 218-7642
7065 N Ingram Ave
Fresno, CA 93650
Phone (559) 371-1696
4080 W Shaw Ave
Fresno, CA 93722
Phone (206) 218-7642
2203 Loveridge Rd
Pittsburg, CA 94565
Phone (925) 252-1829
3223 E Hammer Ln
Stockton, CA 95212
Phone (209) 244-4816
3010 W Grant Line Rd
Tracy, CA 95304
Phone (209) 792-4899
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Madera, CA
- NPI 1386117000
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.
-
- Optometrist
- Stockton, CA
- NPI 1336999853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1447612403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22674 129TH PL SE",
"city": "KENT",
"state": "WA",
"postal_code": "980313978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 N BLACKSTONE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937204300",
"telephone_number": "206-218-7642"
}
],
"practiceLocations": [
{
"address_1": "2043 College Way",
"address_purpose": "LOCATION",
"city": "Forest Grove",
"state": "OR",
"postal_code": "971161756",
"country_code": "US",
"telephone_number": "206-218-7642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAUR",
"first_name": "PALWINDER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-28",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "OD33649TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.