Individual provider Active NPI

Dilini T Hemachandra, O.D.

  • Optometrist
  • Folsom, CA
National Provider Identifier
1932883519
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35454-TLG Issued in CA
Practice address
825 E Bidwell St
Folsom, CA 95630-4207
Phone
(279) 202-1205
NPI assigned
Jun 14, 2023
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT35454-TLG CA Primary

Addresses

Primary practice location

825 E Bidwell St
Folsom, CA 95630-4207

Mailing address

825 E Bidwell St Ste 100
Folsom, CA 95630-4207
Phone (279) 202-1205

Other names 1

  • Miss Dilini T Hemachandra Professional name

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
I20230725001111 CA Practitioner - Optometry 8527429422 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT35454-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hansra Optometric Corporation CurrentSince Aug 1, 2023 Accepting new patients
Tedder Optometric Corporation, PC Optometrist CurrentSince Aug 1, 2023 Accepting new patients

Locations

825 E Bidwell St
Ste 100
Folsom, CA 95630
Phone (279) 202-1202

23625 El Toro Rd
Ste E
Lake Forest, CA 92630
Phone (949) 227-2524

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1932883519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E BIDWELL ST STE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304207",
            "telephone_number": "279-202-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304207",
            "telephone_number": "279-202-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMACHANDRA",
        "first_name": "DILINI",
        "middle_name": "T",
        "name_prefix": "Miss",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35454-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DILINI",
            "last_name": "HEMACHANDRA",
            "middle_name": "T",
            "prefix": "MISS",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.