KAREN MOHAR SANGHERA O.D.
NPI 1467884817
Optometrist in Fresno, CA

Active since August 07, 2013PECOS EnrolledAccepts Medicare Assignment
1360 E HERNDON AVE, STE 401, FRESNO, CA 93720(559) 449-5010(559) 449-5014 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2022, Feb 23, 2022 (2 updates tracked since 2022).

About Karen Mohar Sanghera O.d. NPPES

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

KAREN MOHAR SANGHERA O.D. (NPI 1467884817) is an individual optometrist in Fresno, California, licensed in California (14746) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1467884817
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKAREN MOHAR SANGHERACredential: O.D.
Location Address1360 E HERNDON AVE, STE 401Fresno, CA 93720-3326
Mailing Address1791 Burgandy DrYuba City, CA 95993-8331 · (530) 300-1348
Fax(559) 449-5014
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 7, 2013
Last NPPES UpdateJuly 26, 20222 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1467884817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in CA · 14746✔ Licensed in WI · 21414-875
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

Other Names 1

Former Name (1)Karen Mohar

Other Identifiers 5

Other125251CA · Ptan
Other125252CA · Ptan
Other125254CA · Ptan
Other125250CA · Ptan
Other125253CA · Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Mohar Sanghera 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 ID446477798
PECOS Enrollment IDI20140808001673, I20220104000451
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.

Medicare Billing Reassignments

21

Medicare enrollment records show Karen Sanghera reassigns Medicare billing to 21 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
7060 N RECREATION AVE
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 276 clinicians in this Medicare group
Optometrist
991 E MONTE VISTA AVE
Turlock, CA 95382
  • Reassigned Medicare billing, California enrollment
  • 67 clinicians in this Medicare group
Optometrist
880 CASS ST, #105
Monterey, CA 93940
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
43322 GINGHAM AVE
Lancaster, CA 93535
  • Reassigned Medicare billing, California enrollment
  • 70 clinicians in this Medicare group
Optometrist
600 ASH ST
Susanville, CA 96130
  • Reassigned Medicare billing, California enrollment
  • 38 clinicians in this Medicare group
Optometrist
11717 BERNARDO PLAZA CT STE 105
San Diego, CA 92128
  • Reassigned Medicare billing, California enrollment
  • 236 clinicians in this Medicare group
Community Health
949 PALM AVENUE
Imperial Beach, CA 91932
  • Reassigned Medicare billing, California enrollment
  • 24 clinicians in this Medicare group
Optometrist
611 24 RD STE 1
Grand Junction, CO 81505
  • Reassigned Medicare billing, Colorado enrollment
  • 14 clinicians in this Medicare group
Optometrist
900 AIRPORT RD STE 2
Rifle, CO 81650
  • Reassigned Medicare billing, Colorado enrollment
  • 43 clinicians in this Medicare group
Optometrist
2449 PINE ST
Boulder, CO 80302
  • Reassigned Medicare billing, Colorado enrollment
  • 120 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

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.
11 services11 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.

Ophthalmology
1360 E HERNDON AVE, STE 201
FRESNO, CA 93720
Ophthalmology
1360 E HERNDON AVE, SUITE 401
FRESNO, CA 93720
Optometrist
1360 E HERNDON AVE, SUITE 401
FRESNO, CA 93720
Optometrist
1360 E HERNDON AVE, SUITE 201
FRESNO, CA 93720
Ophthalmology
1360 E HERNDON AVE, STE 201
FRESNO, CA 93720
Optometrist
1360 E HERNDON AVE, SUITE 301
FRESNO, CA 93720
Ophthalmology
1360 E HERNDON AVE, SUITE 401
FRESNO, CA 93720
Ophthalmology
1360 E HERNDON AVE, SUITE 301
FRESNO, CA 93720

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 Karen Sanghera's NPI number?

The NPI number for Karen Sanghera is 1467884817. It was assigned to this individual provider in the NPPES registry on August 7, 2013. The provider is also known as Karen Mohar.

Where is Karen Sanghera located?

Karen Sanghera practices at 1360 E Herndon Ave Ste 401, Fresno, CA 93720. The listed phone number is (559) 449-5010.

What is Karen Sanghera's specialty?

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

Is Karen Sanghera enrolled in Medicare?

Yes. Karen Sanghera 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.

Which organizations bill Medicare for Karen Sanghera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Sanghera reassigns Medicare benefits to 21 organizations: Family Healthcare Network (Fresno, CA), Fifth Optometric Care Of California (Turlock, CA), Eyemd On Cass A Professional Corporation (Monterey, CA), Bartz-Altadonna Community Health Center (Lancaster, CA), Troy Humphreys Od Faao, Professional Corporation (Susanville, CA) and 16 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Sanghera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Sanghera accept?

Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 13 other insurers list Karen Sanghera 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 Karen Sanghera was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.