Surbhi Bansal, O.D.
NPI 1407103401ActiveIndividual· Optometrist· Stanford, CA
Optometrist (O.D.) with Marshall B Ketchum University, practicing in Stanford, California. Enrolled in Medicare as practitioner - optometry.
Overview
| NPI | 1407103401 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Aug 8, 2012 |
| Last updated in NPPES | Jul 14, 2021 |
| Certified by provider | Jun 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 33613T | CA |
| Optometrist | 152W00000X | OPT33613TLG | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (CA) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Optometry |
Medical group
- Marshall B Ketchum UniversityAnaheim, CA · 57 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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