Individual provider Active NPI

Sharanvir Bhullar, O.D.

  • Optometrist
  • Gig Harbor, WA
National Provider Identifier
1619322302
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60659282 Issued in WA
Practice address
10990 Harbor Hill Dr NW
Gig Harbor, WA 98332-8945
Phone
(253) 272-1429
NPI assigned
Apr 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 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 OD60659282 WA Primary

Addresses

Primary practice location

10990 Harbor Hill Dr NW
Gig Harbor, WA 98332-8945

Mailing address

4159 S 292ND PL
Auburn, WA 98001-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20230721002295 OR Practitioner - Optometry 6204105703 Reassigns benefits to 1 organization

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
Group practices
McPartland Medical IncGroup PAC ID 4082074521, 2 clinicians

Practice addresses (Care Compare)

788 S Front St
Central Point, OR 97502-2725
Phone (541) 727-7501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60659282WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
McPartland Medical, Inc Optometrist CurrentSince Jun 1, 2023 Accepting new patients

Locations

788 S Front St
Central Point, OR 97502
Phone (541) 727-7501

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.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1619322302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4159 S 292ND PL",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980012500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10990 HARBOR HILL DR NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328945",
            "telephone_number": "253-272-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHULLAR",
        "first_name": "SHARANVIR",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60659282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.