DR. AMRITA K DHALIWAL (OD) – Optometrist, NPI 1902908791

DR. AMRITA K DHALIWAL (OD) is a healthcare provider. based in Edina, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0003283 (CO). The NPI Number for DR. AMRITA K DHALIWAL (OD) is 1902908791

Main info

Female
23 Years Of Experience
Name
DR. AMRITA K DHALIWAL (OD)
NPI
1902908791
Phone
(952) 926-6149
Address
3333 Hazelton Rd
Enumeration Date
2 September 2006
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
3034715263
Graduation Year
2003 (23 years ago)
PAC ID
3476577305
Group Practice PAC ID
4183983539
Professional Enrollment ID
I20170717002697
Address ID
CO801292520HI9325XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

Provider Addresses for DR. AMRITA K DHALIWAL (OD)

  • 3333 Hazelton Rd

    Edina, MN 554354204

    Phone: (952) 926-6149

    Fax: (952) 926-2729

    Type: Location

  • 295 E SPEER BLVD APT 634

    DENVER, CO 802033576

    Phone: (612) 232-3787

    Type: Mailing

  • 10001, Washington Street, Thornton, Adams County, Colorado, 80229, United States

    THORNTON, CO 802292050

    Phone: (303) 451-8075

    Fax: (303) 457-9859

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $604.

Total Amount is formed as General ($604) + Research ($0) + Ownership ($0) = $604.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($323).

Total Amount

$604

General + Research + Ownership

Payments

16

Total payment records

General Amount

$604

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060118001014IOptometryMNTBD
I20170717002697IOptometryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system4443$0
66984Removal of cataract with insertion of prosthetic lens2214$0
92012Established patient problem focused exam of visual system2219$0
92004New patient complete exam of visual system1515$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183983539View full group profile
NameSpecialtyState
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO

Reviews

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Frequently asked questions

Can I verify DR. AMRITA K DHALIWAL (OD) with an NPI only?
You can start verification with NPI 1902908791 for DR. AMRITA K DHALIWAL (OD), then check state licensing separately.
Is DR. AMRITA K DHALIWAL (OD) still practicing?
DR. AMRITA K DHALIWAL (OD) is currently listed as active in the public NPI registry.
What healthcare role does DR. AMRITA K DHALIWAL (OD) hold?
Scheduling teams often label DR. AMRITA K DHALIWAL (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. AMRITA K DHALIWAL (OD) on a map?
Expect Edina, Minnesota as a primary anchor for DR. AMRITA K DHALIWAL (OD) unless the record lists multiple sites.
Is the information about DR. AMRITA K DHALIWAL (OD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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