Individual provider Active NPI

Karuna Kirti Boggavarapu, O.D.

  • Corneal and Contact Management Optometrist
  • Bothell, WA
National Provider Identifier
1649574005
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
60150861 Issued in WA
Practice address
22833 Bothell Everett Hwy
Suite 154
Bothell, WA 98021-9385
Phone
(425) 485-0430
Fax
(425) 483-6198
NPI assigned
Dec 28, 2010
Last updated
Jul 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60150861 WA
Corneal and Contact Management Optometrist 152WC0802X 60150861 WA Primary

Addresses

Primary practice location

22833 Bothell Everett Hwy
Suite 154
Bothell, WA 98021-9385

Mailing address

22833 Bothell Everett Hwy
Suite 154
Bothell, WA 98021-9385
Phone (425) 485-0430

Other names 1

  • Dr Karuna Sharma OD PLLC Other name

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
I20140206001696 WA Practitioner - Optometry 5294964540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Karuna Sharma OD PLLCGroup PAC ID 4385873637, 4 clinicians

Practice addresses (Care Compare)

18411 Alderwood Mall Pkwy a
Lynnwood, WA 98037-8010
Phone (425) 771-8472

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60150861WAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Karuna Sharma OD PLLC Optometrist CurrentSince Jan 6, 2014 Accepting new patients
Douglas C. Barton Optometrist Past Accepting new patients

Locations

19803 North Creek Pkwy
Ste 105
Bothell, WA 98011
Phone (425) 485-0430

22833 Bothell Everett Hwy
Ste 154
Bothell, WA 98021
Phone (425) 485-0430

18411 Alderwood Mall Pkwy
Lynnwood, WA 98037
Phone (425) 485-0430

18411 Alderwood Mall Pkwy
Ste A
Lynnwood, WA 98037
Phone (425) 412-0358

Organizations & group practices 2

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": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1649574005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22833 BOTHELL EVERETT HWY",
            "address_2": "SUITE 154",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219385",
            "telephone_number": "425-485-0430",
            "fax_number": "425-483-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22833 BOTHELL EVERETT HWY",
            "address_2": "SUITE 154",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219385",
            "telephone_number": "425-485-0430",
            "fax_number": "425-483-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGAVARAPU",
        "first_name": "KARUNA",
        "middle_name": "KIRTI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60150861",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "60150861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DR KARUNA",
            "last_name": "SHARMA OD PLLC",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.