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BALJINDER DHERI
NPI 1861383085
Optometrist in Kirkland, WA

Active since July 15, 2025PECOS EnrolledAccepts Medicare Assignment
11830 NE 128TH ST STE 1, KIRKLAND, WA 98034(425) 821-8900 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Baljinder Dheri NPPES

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

BALJINDER DHERI (NPI 1861383085) is an individual optometrist in Kirkland, Washington, licensed in Washington (OD70013877) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2024).

NPPES Registry Identity

NPI1861383085
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameBALJINDER DHERI
Location Address11830 NE 128TH ST STE 1Kirkland, WA 98034-7202
Mailing Address11830 Ne 128th St Ste 1Kirkland, WA 98034-7202
Phone(425) 821-8900
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2024
Enumeration DateJuly 15, 2025
Last NPPES UpdateAugust 11, 2025
NPPES CertifiedAugust 11, 2025
✔ NPI 1861383085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WA · OD70013877
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11830 NE 128TH ST STE 1, Kirkland, WA 98034
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Baljinder Dheri 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 ID6800385360
PECOS Enrollment IDI20251027002254
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 Reassignment

Medicare enrollment records show Baljinder Dheri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialty Eyecare Group Inc
Same address
Optometrist
11830 NE 128TH ST STE 1
Kirkland, WA 98034
  • Reassigned Medicare billing, Washington enrollment
  • 13 clinicians in this Medicare group
NPI 1235317637 (425) 821-8900

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98034 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 5

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

CHARISSA YOUNG O.D.
Optometrist
11830 NE 128TH ST STE 1
KIRKLAND, WA 98034
King County (425) 821-8900
SPECIALTY EYECARE GROUP INC
Optometrist
11830 NE 128TH ST STE 1
KIRKLAND, WA 98034
King County (425) 821-8900
KAJA CUPER OD.OD.70138074
Optometrist
11830 NE 128TH ST STE 1
KIRKLAND, WA 98034
King County (425) 821-8900
DR. SARAH PAIGE HENDERSON OD
Optometrist
11830 NE 128TH ST STE 1
KIRKLAND, WA 98034
King County (425) 821-8900
LAUREN DOWNEY OD
Optometrist (Corneal and Contact Management)
11830 NE 128TH ST STE 1
KIRKLAND, WA 98034
King County (425) 821-8900

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 Baljinder Dheri's NPI number?

The NPI number for Baljinder Dheri is 1861383085. It was assigned to this individual provider in the NPPES registry on July 15, 2025.

Where is Baljinder Dheri located?

Baljinder Dheri practices at 11830 NE 128th St Ste 1, Kirkland, WA 98034. The listed phone number is (425) 821-8900.

What is Baljinder Dheri's specialty?

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

Is Baljinder Dheri enrolled in Medicare?

Yes. Baljinder Dheri 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 organization bills Medicare for Baljinder Dheri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Baljinder Dheri reassigns Medicare benefits to Specialty Eyecare Group Inc (Kirkland, WA). The 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 Baljinder Dheri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Baljinder Dheri 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, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Baljinder Dheri 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 Baljinder Dheri was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.