Organization Active NPI

Dr. Veenu Gill and Associates P.C.

  • Optometrist
  • Everett, MA
National Provider Identifier
1023518818
Registry record updated Feb 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5036 Issued in MA
Legal business name
DR. VEENU GILL AND ASSOCIATES P.C.
Practice address
1885 Revere Beach Pkwy Ste 3
Everett, MA 02149-5923
Phone
(617) 389-0099
NPI assigned
Feb 18, 2018
Last updated
Feb 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Veenu Gill, OD
Title
President
Phone
(617) 686-1388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5036 MA Primary

Addresses

Primary practice location

1885 Revere Beach Pkwy Ste 3
Everett, MA 02149-5923

Mailing address

15 Fremont St
Woburn, MA 01801-4619
Phone (617) 686-1388

National Provider Directory

National Provider Directory

Locations

1885 Revere Beach Pkwy
Ste 3
Everett, MA 02149
Phone (617) 389-0099

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518912000000",
    "number": "1023518818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FREMONT ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014619",
            "telephone_number": "617-686-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 REVERE BEACH PKWY STE 3",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021495923",
            "telephone_number": "617-389-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. VEENU GILL AND ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-18",
        "last_updated": "2018-02-18",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "VEENU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-686-1388",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.