Individual provider Active NPI

Tarneet Dhaliwal, OD

  • Optometrist
  • Federal Way, WA
National Provider Identifier
1740835784
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60964942 Issued in WA
Practice address
1810 S 320TH St Ste a
Federal Way, WA 98003-5639
Phone
(253) 237-5031
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60964942 WA Primary

Addresses

Primary practice location

1810 S 320TH St Ste a
Federal Way, WA 98003-5639

Mailing address

1810 S 320TH St Ste a
Federal Way, WA 98003-5639
Phone (253) 237-5031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220725001171 WA Practitioner - Optometry 0941681845 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kyle Sexton, O.D., LLC Optometrist CurrentSince Jul 1, 2022 Accepting new patients

Locations

625 Black Lake Blvd SW
Ste 110
Olympia, WA 98502
Phone (360) 357-2542

3500 S Meridian
Ste 926
Puyallup, WA 98373
Phone (253) 864-9350

7330 164th Ave NE
Ste E150
Redmond, WA 98052
Phone (425) 869-2337

4750 N Division St
Ste 1010
Spokane, WA 99207
Phone (509) 596-9879

14700 E Indiana Ave
Spc 1008
Spokane Valley, WA 99216
Phone (509) 596-9880

4051 Tacoma Mall Blvd
Tacoma, WA 98409
Phone (206) 473-2215

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": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1740835784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 S 320TH ST STE A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035639",
            "telephone_number": "253-237-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 S 320TH ST STE A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035639",
            "telephone_number": "253-237-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "TARNEET",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60964942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.