Individual provider Active NPI

Paneet Kaur Khaira, OD

  • Optometrist
  • Turlock, CA
National Provider Identifier
1114720646
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36239 Issued in CA
Practice address
991 E Monte Vista Ave Ste 1
Turlock, CA 95382-0637
Phone
(209) 634-8591
NPI assigned
Mar 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 36239 CA Primary

Addresses

Primary practice location

991 E Monte Vista Ave Ste 1
Turlock, CA 95382-0637

Mailing address

1671 Whirlaway LN
Tracy, CA 95377-8354
Phone (209) 627-6222

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
I20260616000654 CA Practitioner - Optometry 0446722086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fifth Optometric Care of CaliforniaGroup PAC ID 4284096298, 22 clinicians

Practice addresses (Care Compare)

1001 Sylvan Ave
Suite B
Modesto, CA 95350-1699
Phone (209) 575-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36239CAMDPharmacist

Organizations & group practices 2

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": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1114720646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 WHIRLAWAY LN",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778354",
            "telephone_number": "209-627-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 E MONTE VISTA AVE STE 1",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953820637",
            "telephone_number": "209-634-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIRA",
        "first_name": "PANEET",
        "middle_name": "KAUR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.