Active NPI
Dilini T Hemachandra, O.D.
- Optometrist
- Folsom, CA
National Provider Identifier
1932883519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT35454-TLG
- Practice address
- 825 E Bidwell St
Folsom, CA 95630-4207 - Phone
- (279) 202-1205
- NPI assigned
- Jun 14, 2023
- Last updated
- Jul 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT35454-TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hansra Optometric Corporation | Current | Accepting new patients | |
| Tedder Optometric Corporation, PC | Optometrist | Current | 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.
-
- Optometrist
- Lake Forest, CA
- NPI 1679262158
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"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.