Provider Demographics
NPI:1902841448
Name:SANDHU, JOSHLENE D (OD)
Entity type:Individual
Prefix:
First Name:JOSHLENE
Middle Name:D
Last Name:SANDHU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 116TH AVE NE STE B
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3801
Mailing Address - Country:US
Mailing Address - Phone:425-502-7922
Mailing Address - Fax:425-502-7975
Practice Address - Street 1:1414 116TH AVE NE STE B
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3801
Practice Address - Country:US
Practice Address - Phone:425-502-7922
Practice Address - Fax:425-502-7975
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD60348374152W00000X, 152W00000X
NYTUV6585-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist