Jasdeep Sidhu, O.D.
Optometrist in Stanwood, WA. Individual provider (NPI-1).
NPI number1780912170
StatusActive
Last updated in NPPESMar 15, 2024
Details
- NPI
- 1780912170
- Entity type
- Individual (NPI-1)
- Name
- Jasdeep Sidhu
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2009
- Certification date
- Mar 15, 2024
- Last updated
- Mar 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OD60109766 | WA | Yes |
Practice location
27101 Pioneer HwyStanwood, WA 98292-6057
Phone 360-629-9535
Mailing address
5801 Summitview AveYakima, WA 98908-3006
Phone 509-965-6405
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Optometrist providers in Stanwood · All 408 providers in Stanwood
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