Individual provider Active NPI

Kyle Gurmej Dosanjh, OD

  • Optometrist
  • Bellingham, WA
National Provider Identifier
1881368041
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61181272 Issued in WA
Practice address
2520 James St
Bellingham, WA 98225-3545
Phone
(360) 393-4000
NPI assigned
Aug 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD61181272 WA Primary

Addresses

Primary practice location

2520 James St
Bellingham, WA 98225-3545

Mailing address

203 E Laurel St Apt 205
Bellingham, WA 98225-5259
Phone (602) 460-1489

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
I20210830001607 WA Practitioner - Optometry 2264837236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyeco Optometry PSGroup PAC ID 0143286716, 8 clinicians

Practice addresses (Care Compare)

4110 Meridian St
Bellingham, WA 98226-5515
Phone (360) 746-8549

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyeco Optometry PS Optometrist CurrentSince Aug 4, 2021 Accepting new patients
Vision Plus of Barkley PLLC Optometrist CurrentSince May 9, 2023 Accepting new patients
Vision Plus Inside Ferndale Haggen Optometrist PastSince Aug 4, 2021 Accepting new patients

Locations

2900 Woburn St
#101
Bellingham, WA 98226
Phone (360) 483-2001

2520 James St
Bellingham, WA 98225
Phone (360) 393-4000

4110 Meridian St
Bellingham, WA 98226
Phone (360) 746-8549

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": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1881368041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E LAUREL ST APT 205",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255259",
            "telephone_number": "602-460-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 JAMES ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253545",
            "telephone_number": "360-393-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSANJH",
        "first_name": "KYLE",
        "middle_name": "GURMEJ",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61181272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.