Individual provider Active NPI

Jasmeen Kaur Bhangu, OD

  • Corneal and Contact Management Optometrist
  • Hanford, CA
National Provider Identifier
1780209304
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
34668 Issued in CA
Practice address
250 W 5TH St
Hanford, CA 93230-5029
Phone
(877) 960-3426
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD61073340 WA
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 34668 CA Primary

Addresses

Primary practice location

250 W 5TH St
Hanford, CA 93230-5029

Mailing address

305 E Center Ave
Visalia, CA 93291-6331
Phone (559) 737-4700

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
I20200616003537 WA Practitioner - Optometry 8820410038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kyle Sexton, O.D., LLCGroup PAC ID 1951470913, 10 clinicians

Practice addresses (Care Compare)

3500 S Meridian
Suite 926
Puyallup, WA 98373-3749
Phone (253) 864-9353

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD61073340WAMDOptometrist
34668CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Eyecare Group Inc Optometrist CurrentSince Jun 1, 2020 Accepting new patients
Kyle Sexton, O.D., LLC Optometrist CurrentSince Dec 1, 2022 Accepting new patients
Northwest Vision Consultants Single Specialty PastSince Jun 1, 2020 Accepting new patients
Luxottica of America Inc. PastSince Dec 1, 2022 Accepting new patients

Locations

225 106th Ave NE
Bellevue, WA 98004
Phone (425) 454-2028

11830 NE 128th St
Ste 1
Kirkland, WA 98034
Phone (425) 814-8900

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

3500 S Meridian
Ste 945
Puyallup, WA 98373
Phone (253) 864-9353

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 4

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1780209304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E CENTER AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916331",
            "telephone_number": "559-737-4700",
            "fax_number": "559-734-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 5TH ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305029",
            "telephone_number": "877-960-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANGU",
        "first_name": "JASMEEN",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61073340",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "34668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.