Individual provider Active NPI

Seema Bali-Sharma, O.D.

  • Optometrist
  • Mukilteo, WA
National Provider Identifier
1629166772
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004298 Issued in MI
Practice address
11700 Mukilteo Speedway
Suite 501
Mukilteo, WA 98275-5432
Phone
(425) 315-8300
NPI assigned
Oct 11, 2006
Last updated
Apr 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00004115 WA
Optometrist 152W00000X 4901004298 MI Primary

Addresses

Primary practice location

11700 Mukilteo Speedway
Suite 501
Mukilteo, WA 98275-5432

Mailing address

11700 Mukilteo Speedway
Suite 501
Mukilteo, WA 98275-5432
Phone (425) 315-8300

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
I20090427000488 WA Practitioner - Optometry 2769428457 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004298MIMDOptometrist
OD00004115WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Visionary Eyecare PLLC Optometrist CurrentSince Nov 26, 2020 Accepting new patients
Washington Visionary Eyecare PLLC Optometrist CurrentSince Nov 26, 2020 Accepting new patients

Locations

5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436
Phone (775) 359-2020

15650 NE 24th St
Ste B
Bellevue, WA 98008
Phone (425) 215-0255

11700 Mukilteo Speedway
Ste 501
Mukilteo, WA 98275
Phone (425) 315-8300

Organizations & group practices 3

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1629166772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 MUKILTEO SPEEDWAY",
            "address_2": "SUITE 501",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755432",
            "telephone_number": "425-315-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 MUKILTEO SPEEDWAY",
            "address_2": "SUITE 501",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755432",
            "telephone_number": "425-315-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALI-SHARMA",
        "first_name": "SEEMA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00004115",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukilteo, WA

Sources for this page

Verify at the official NPI Registry.