Individual provider Active NPI

Sheeba Bhaskaran, O.D.

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1710154570
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OET009058 Issued in PA
Practice address
7252 Frankford Ave
Philadelphia, PA 19135-1017
Phone
(215) 335-3555
Fax
(215) 335-3540
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OET009058 PA Primary

Addresses

Primary practice location

7252 Frankford Ave
Philadelphia, PA 19135-1017

Mailing address

7252 Frankford Ave
Philadelphia, PA 19135-1017
Phone (215) 335-3555

Other identifiers 1

IdentifierTypeStateIssuer
001430122006MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050601000023 PA Practitioner - Optometry 4880636869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7252 Frankford Ave
Philadelphia, PA 19135-1017
Phone (215) 335-3555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OET009058PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
King Eye Associates LLC Optometrist CurrentSince Oct 3, 2008 Accepting new patients
Morrell Optical Inc Optometrist Past Accepting new patients
Morrell Eye Care, Inc. Optometrist Past Accepting new patients

Locations

7252 Frankford Ave
Philadelphia, PA 19135
Phone (215) 335-3555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1710154570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7252 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191351017",
            "telephone_number": "215-335-3555",
            "fax_number": "215-335-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7252 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191351017",
            "telephone_number": "215-335-3555",
            "fax_number": "215-335-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASKARAN",
        "first_name": "SHEEBA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET009058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001430122006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.