JASDEEP SIDHU (NPI# 1780912170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780912170 |
| Entity Type | Individual |
| Full Name | JASDEEP SIDHU |
| Credential | O.D. |
| Practice Address |
5801 Summitview Ave Yakima WA 98908-3006 |
| Practice Telephone | 5099656405 |
| Mailing Telephone | 5099656405 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2013-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1723 | AZ | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760935910 | Jasdeep Singh Sidhu | Student in an Organized Health Care Education/Training Program | 529 S Jackson St, Louisville, KY 40202-3229 | 2016-07-24 |
| 1417295155 | Jasdeep Kaur Sidhu | Internal Medicine | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2013-01-30 |
| 1740485440 | Jasdeep Singh Sidhu | Internal Medicine | 700 S Park St, Madison, WI 53715-1830 | 2007-06-20 |
| Street Address |
5801 SUMMITVIEW AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679525273 | Mark M Ward | Optometrist | 5801 Summitview Ave, Yakima, WA 98908-3006 | 2006-05-16 |
| 1962953448 | Daniel Quinn Holland | Pharmacist | 5801 Summitview Ave, Yakima, WA 98908-3006 | 2016-10-19 |
| 1861731630 | Adela Constantin Waldie | Pharmacist | 5801 Summitview Ave, Yakima, WA 98908-3006 | 2013-02-13 |
| 1154693935 | Kenneth Karl Antles | Pharmacist | 5801 Summitview Ave, Yakima, WA 98908-3006 | 2012-02-08 |
| 1750653515 | Jackie Mary Widhalm | Pharmacist | 5801 Summitview Ave, Yakima, WA 98908-3006 | 2012-02-08 |
| 1518907948 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 5801 Summitview Ave, Yakima, WA 98908-3006 | 2006-06-07 |
| 1891747879 | Shopko Stores Operating Co. LLC | Optometrist | 5801 Summitview Ave, Yakima, WA 98908-3006 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
| Find all providers in zip 98908 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558985671 | Tiffany Lundberg | Optometrist | 2010 W Lincoln Ave Ste 1, Yakima, WA 98902-2413 | 2020-06-04 |
| 1316597750 | Eyecare Associates Yakima Pllc | Optometrist | 3909 Creekside Loop Ste 150, Yakima, WA 98902-4883 | 2019-09-18 |
| 1659725547 | Dana Spearin | Optometrist | 502 N 40th Ave Unit 1, Yakima, WA 98908-4319 | 2016-04-18 |
| 1366704611 | Jenessa Leigh Hartman | Optometrist | 303 S 72nd Ave, Yakima, WA 98908 | 2012-06-12 |
| 1568797645 | Daniel Joseph Brauner | Optometrist | 110 S 72nd Ave, Suite 120, Yakima, WA 98908-4600 | 2009-10-07 |
| 1952574295 | Shawn M Kurtz Od Pllc | Optometrist | 208 S 72nd Ave Ste 100, Yakima, WA 98908-1600 | 2008-04-08 |
| 1982891651 | Richard H Hopp | Optometrist | 3999 Englewood Ave #101, Yakima, WA 98902-6341 | 2007-09-26 |
| 1942325360 | Jeanette Marie Stromme | Optometrist | 111 University Pkwy Ste 104, Yakima, WA 98901-1448 | 2007-03-21 |
| 1821120338 | Michael P Woods | Optometrist | 317 S 11th Ave, Yakima, WA 98902-3213 | 2007-03-10 |
| 1881796845 | Seth T Copeland | Optometrist | 3907 Castlevale Rd, Yakima, WA 98902-7802 | 2006-09-01 |
| Find all providers in YAKIMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.