Healthcare Provider Details

I. General information

NPI: 1750273363
Provider Name (Legal Business Name): HERMINDER S. BOPARAI, OD AND JOSHLENE D. SANDHU, OD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 07/17/2025
Certification Date: 07/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13603 NE 36TH PL
BELLEVUE WA
98005-1411
US

IV. Provider business mailing address

13603 NE 36TH PL
BELLEVUE WA
98005-1411
US

V. Phone/Fax

Practice location:
  • Phone: 646-330-3332
  • Fax:
Mailing address:
  • Phone: 646-330-3332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. HERMINDER BOPARAI
Title or Position: PRESIDENT
Credential: OD
Phone: 646-330-3332