Prabhdeep Sahota

Primary specialty

OptometristTaxonomy code 152W00000X

License

61071405 Issued in WA

Practice address

32717 1St Ave S Ste 6
Federal Way, WA 98003-5758

Phone

(253) 838-5428

NPI assigned

Jun 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blue Wave Eye Doctors Professional Limited Liability Company

  • Optometrist
  • Everett, WA
  • NPI 1053060475
  Medicare reassignment NPD
• Bonney Lake Optical, Inc

  • Pediatric Optometrist
  • Bonney Lake, WA
  • NPI 1154478014
  Medicare reassignment NPD
• Blue Wave Eye Doctors Professional Limited Liability Company

  • Eyewear Supplier
  • Olympia, WA
  • NPI 1902608755
  NPD
• Federal Way Vision Center

  • Optometrist
  • Federal Way, WA
  • NPI 1336210483
  NPD (past)

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1801411574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 204TH AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916559",
            "telephone_number": "253-750-8135",
            "fax_number": "253-750-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32717 1ST AVE S STE 6",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035758",
            "telephone_number": "253-838-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHOTA",
        "first_name": "PRABHDEEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61071405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Sacco, NP
• Janice M Sack-Ory, ARNP
• William Todd Sadler, LMHC
• Tabassum Saeed, M.D., M.S.
• Safeway Inc
• Tarnjeet Sahota, DMD
• Angela Unique Saidybah, MSW, LICSW
• Edelyn Saint-Louis
• Paul Roy Saitman I, DPT
• Namieka T Salabie, APRN

• Optometrist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.