Individual provider Active NPI

Vikram Girn

  • Optometrist
  • Stockton, CA
National Provider Identifier
1083021752
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 14946 TLG Issued in CA
Practice address
2571 Blossom Cir
Stockton, CA 95212-3010
Phone
(209) 298-6169
NPI assigned
Jul 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 14946 TLG CA Primary

Addresses

Primary practice location

2571 Blossom Cir
Stockton, CA 95212-3010

Mailing address

2571 Blossom Cir
Stockton, CA 95212-3010
Phone (209) 298-6169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141121000236 CA Practitioner - Optometry 2567684822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Valley Eye Medical Group IncGroup PAC ID 8729178843, 10 clinicians

Practice addresses (Care Compare)

1334 Nelson Ave
Modesto, CA 95350-5341
Phone (209) 579-8800

200 Cottage Ave
Suite 102
Manteca, CA 95336-4935
Phone (209) 239-5303

36 W Yokuts Ave
Suite 1
Stockton, CA 95207-5713
Phone (209) 952-3700

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 14946 TLGCAMDOptometrist
14946CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Optometric Care of Northern California PC Optometrist Current Accepting new patients
First Optometric Care of Northern California PC Optometrist CurrentSince Mar 10, 2021 Accepting new patients
Central Valley Eye Medical Group Inc. Optometrist CurrentSince Oct 1, 2014 Accepting new patients
First Optometric Care of Northern California PC Optometrist CurrentSince Mar 10, 2021 Accepting new patients

Locations

200 Cottage Ave
Ste 102
Manteca, CA 95336
Phone (209) 239-5303

200 Cottage Ave
Ste 200
Manteca, CA 95336
Phone (209) 832-3332

1334 Nelson Ave
Modesto, CA 95350
Phone (209) 524-9904

725 University Ave
Palo Alto, CA 94301
Phone (650) 321-2015

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

36 W Yokuts Ave
Ste 1
Stockton, CA 95207
Phone (209) 952-3700

3133 W March Ln
Ste 2020
Stockton, CA 95219
Phone (209) 951-0820

1199 Delbon Ave
Ste 4
Turlock, CA 95382
Phone (209) 667-6211

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vgirn15570@hpmg.direct-ci.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1083021752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 BLOSSOM CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952123010",
            "telephone_number": "209-298-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 BLOSSOM CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952123010",
            "telephone_number": "209-298-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRN",
        "first_name": "VIKRAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 14946 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.