Organization Active NPI

Gurjeet Kaila

Doing business as Simply Eyes Optometry Inc.

  • Optometrist
  • Tulare, CA
National Provider Identifier
1205424942
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GURJEET KAILA
Doing business as
Simply Eyes Optometry Inc.
Practice address
511 E Kern Ave
Tulare, CA 93274-4210
Phone
(559) 688-0661
Fax
(559) 688-9210
NPI assigned
Jan 7, 2021
Last updated
Dec 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Dr. Gurjeet Kaila, OPTOMETRY DOCTORNPI 1386831097
Title
Optometrist
Phone
(559) 908-6083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

511 E Kern Ave
Tulare, CA 93274-4210

Mailing address

511 E Kern Ave
Tulare, CA 93274-4210
Phone (559) 688-0661

Other identifiers 1

IdentifierTypeStateIssuer
1386831097MedicaidCA

Other names 1

  • Simply Eyes Optometry Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230116000194 CA Part B Supplier - Clinic/Group Practice 1759752520 Receives reassigned benefits from 1 practitioner
Practice locations: Tulare, CA

National Provider Directory

National Provider Directory

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": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1205424942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E KERN AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932744210",
            "telephone_number": "559-688-0661",
            "fax_number": "559-688-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E KERN AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932744210",
            "telephone_number": "559-688-0661",
            "fax_number": "559-688-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURJEET KAILA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "KAILA",
        "authorized_official_first_name": "GURJEET",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "559-908-6083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OPTOMETRY DOCTOR"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386831097",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Eyes Optometry Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Simply Eyes Optometry Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulare, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.