NPI Number: 1750273363
Health Care Provider/Practitioner: HERMINDER S. BOPARAI, OD AND JOSHLENE D. SANDHU, OD, PLLC
Information about “1750273363” NPI (HERMINDER S. BOPARAI, OD AND JOSHLENE D. SANDHU, OD, PLLC)
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<Npi>
<NPI>
1750273363
</NPI>
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Organization
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<EIN/>
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<IsOrgSubpart>
N
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HERMINDER S. BOPARAI, OD AND JOSHLENE D. SANDHU, OD, PLLC
</OrgName>
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<FirstLineMailingAddress>
13603 NE 36TH PL
</FirstLineMailingAddress>
<SecondLineMailingAddress/>
<MailingAddressCityName>
BELLEVUE
</MailingAddressCityName>
<MailingAddressStateName>
WA
</MailingAddressStateName>
<MailingAddressPostalCode>
98005-1411
</MailingAddressPostalCode>
<MailingAddressCountryCode>
US
</MailingAddressCountryCode>
<MailingAddressTelephoneNumber>
646-330-3332
</MailingAddressTelephoneNumber>
<MailingAddressFaxNumber/>
<FirstLinePracticeLocationAddress>
13603 NE 36TH PL
</FirstLinePracticeLocationAddress>
<SecondLinePracticeLocationAddress/>
<PracticeLocationAddressCityName>
BELLEVUE
</PracticeLocationAddressCityName>
<PracticeLocationAddressStateName>
WA
</PracticeLocationAddressStateName>
<PracticeLocationAddressPostalCode>
98005-1411
</PracticeLocationAddressPostalCode>
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US
</PracticeLocationAddressCountryCode>
<PracticeLocationAddressTelephoneNumber>
646-330-3332
</PracticeLocationAddressTelephoneNumber>
<PracticeLocationAddressFaxNumber/>
<EnumerationDate>
07/17/2025
</EnumerationDate>
<LastUpdateDate>
07/17/2025
</LastUpdateDate>
<NPIDeactivationReasonCode/>
<NPIDeactivationReason/>
<NPIDeactivationDate/>
<NPIReactivationDate/>
<GenderCode/>
<Gender/>
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BOPARAI
</AuthorizedOfficialLastName>
<AuthorizedOfficialFirstName>
HERMINDER
</AuthorizedOfficialFirstName>
<AuthorizedOfficialMiddleName/>
<AuthorizedOfficialTitle>
PRESIDENT
</AuthorizedOfficialTitle>
<AuthorizedOfficialNamePrefix>
DR.
</AuthorizedOfficialNamePrefix>
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<AuthorizedOfficialCredential>
OD
</AuthorizedOfficialCredential>
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646-330-3332
</AuthorizedOfficialTelephoneNumber>
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<Taxonomy>
<TaxonomyCode>
152WC0802X
</TaxonomyCode>
<TaxonomyName>
Corneal and Contact Management Optometrist
</TaxonomyName>
<LicenseNumber/>
<LicenseNumberStateCode/>
<PrimaryTaxonomySwitch>
N
</PrimaryTaxonomySwitch>
</Taxonomy>
<Taxonomy>
<TaxonomyCode>
152W00000X
</TaxonomyCode>
<TaxonomyName>
Optometrist
</TaxonomyName>
<LicenseNumber/>
<LicenseNumberStateCode/>
<PrimaryTaxonomySwitch>
Y
</PrimaryTaxonomySwitch>
</Taxonomy>
</Taxonomies>
<HealthcareProviderTaxonomyGroups>
<HealthcareProviderTaxonomyGroup>
<HealthcareProviderTaxonomyGroupName>
193200000X MULTI-SPECIALTY GROUP
</HealthcareProviderTaxonomyGroupName>
<HealthcareProviderTaxonomyGroupDescription>
Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
</HealthcareProviderTaxonomyGroupDescription>
</HealthcareProviderTaxonomyGroup>
<HealthcareProviderTaxonomyGroup>
<HealthcareProviderTaxonomyGroupName>
193200000X MULTI-SPECIALTY GROUP
</HealthcareProviderTaxonomyGroupName>
<HealthcareProviderTaxonomyGroupDescription>
Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
</HealthcareProviderTaxonomyGroupDescription>
</HealthcareProviderTaxonomyGroup>
</HealthcareProviderTaxonomyGroups>
</Npi>
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