Individual provider Active NPI

Varsha Mathur, O.D.

  • Optometrist
  • Visalia, CA
National Provider Identifier
1881007748
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14904 Issued in CA
Practice address
2333 W Whitendale Ave
Visalia, CA 93277-8701
Phone
(559) 733-7700
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14904 CA Primary

Addresses

Primary practice location

2333 W Whitendale Ave
Visalia, CA 93277-8701

Mailing address

2333 W Whitendale Ave
Visalia, CA 93277-8701
Phone (559) 733-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140702000451 CA Practitioner - Optometry 7416172622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3749 S Mooney Blvd
Visalia, CA 93277-8000
Phone (559) 733-9966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14904CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Varsha Mathur Optometric Professional Corporation Optometrist CurrentSince Dec 2, 2024 Accepting new patients
United Health Centers of the San Joaquin Valley PastSince Dec 17, 2021 Accepting new patients

Locations

3749 S Mooney Blvd
Visalia, CA 93277
Phone (559) 733-9966

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1881007748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 W WHITENDALE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778701",
            "telephone_number": "559-733-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 W WHITENDALE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778701",
            "telephone_number": "559-733-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "VARSHA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.