MEDICARE: BHATTARAI OPTOMETRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1811829724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BHATTARAI OPTOMETRY

Provider Business Mailing Address
First Line	:	1928 SHATTUCK AVE
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94704-1022
Country	:	US
Telephone Number	:	510-279-8486
Fax Number	:

Provider Business Practice Location Address
First Line	:	1928 SHATTUCK AVE
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94704-1022
Country	:	US
Telephone Number	:	510-279-8486
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRY
Name	:	YASHASWEE BHATTARAI
Credential	:	OD
Telephone Number	:	510-279-8486

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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