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DR. PRABHJOT KAUR SAINI O.D.
NPI 1184084147
Optometrist in Fresno, CA

Active since March 03, 2016PECOS EnrolledAccepts Medicare Assignment
1360 E HERNDON AVE, SUITE 301, FRESNO, CA 93720(559) 486-5000(559) 439-7854 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2016, Mar 3, 2016 (2 updates tracked since 2016).

About Dr. Prabhjot Kaur Saini O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRABHJOT KAUR SAINI O.D. (NPI 1184084147) is an individual optometrist in Fresno, California, licensed in California (33347) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1184084147
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. PRABHJOT KAUR SAINICredential: O.D.
Location Address1360 E HERNDON AVE, SUITE 301Fresno, CA 93720-3326
Mailing Address1360 E Herndon Ave, Suite 301Fresno, CA 93720-3326 · (559) 486-5000 · Fax (559) 439-7854
Phone(559) 486-5000
Fax(559) 439-7854
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 3, 2016
Last NPPES UpdateJuly 27, 20162 updates tracked since enumeration
✔ NPI 1184084147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 33347
Definition
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.
1360 E HERNDON AVE, Fresno, CA 93720
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Prabhjot Kaur Saini O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486949492
PECOS Enrollment IDI20160829003008
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
126 services116 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
86 services85 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC JAMES POULSEN M.D.
Ophthalmology
1360 E HERNDON AVE, STE 201
FRESNO, CA 93720
Fresno County (559) 449-5050
FOGG REMINGTON EYECARE INC
Ophthalmology
1360 E HERNDON AVE, SUITE 401
FRESNO, CA 93720
Fresno County (559) 449-5010
DR. THOMAS PEARSON O.D.
Optometrist
1360 E HERNDON AVE, SUITE 401
FRESNO, CA 93720
Fresno County (559) 449-5010
DR. SHARON SAMRA HIYAMA O.D.
Optometrist
1360 E HERNDON AVE, SUITE 201
FRESNO, CA 93720
Fresno County (559) 449-5050
LARRY RAY LAWRENCE M.D.
Ophthalmology
1360 E HERNDON AVE, STE 201
FRESNO, CA 93720
Fresno County (559) 449-5050
DR. WILLIAM ANDREW MAXWELL M.D.
Ophthalmology
1360 E HERNDON AVE, SUITE 401
FRESNO, CA 93720
Fresno County (559) 449-5010
EYE MEDICAL CLINIC OF FRESNO, INC
Ophthalmology
1360 E HERNDON AVE, SUITE 301
FRESNO, CA 93720
Fresno County (559) 486-5000
DR. PATRICK JASON SCOTT O.D.
Optometrist
1360 E HERNDON AVE, SUITE 201
FRESNO, CA 93720
Fresno County (559) 449-5050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prabhjot Saini's NPI number?

The NPI number for Prabhjot Saini is 1184084147. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Where is Prabhjot Saini located?

Prabhjot Saini practices at 1360 E Herndon Ave Suite 301, Fresno, CA 93720. The listed phone number is (559) 486-5000.

What is Prabhjot Saini's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Prabhjot Saini enrolled in Medicare?

Yes. Prabhjot Saini is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Prabhjot Saini accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Prabhjot Saini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prabhjot Saini was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.