Individual provider Active NPI

Sukhpreet Kaur Kahlon, OD

  • Optometrist
  • North Brunswick, NJ
National Provider Identifier
1205433570
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00700900 Issued in NJ
Practice address
2090 State Route 27 Ste 105
North Brunswick, NJ 08902-1142
Phone
(732) 658-6765
Fax
(732) 568-0041
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00700900 NJ Primary

Addresses

Primary practice location

2090 State Route 27 Ste 105
North Brunswick, NJ 08902-1142

Mailing address

2090 State Route 27 Ste 105
North Brunswick, NJ 08902-1142
Phone (732) 658-6765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20201109000722 NJ Practitioner - Optometry 8426468182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somerset Eye Care, LLCGroup PAC ID 5597813030, 4 clinicians
Metuchen Vision LLCGroup PAC ID 2860890670, 5 clinicians

Practice addresses (Care Compare)

2090 State Route 27
Suite 105
North Brunswick, NJ 08902-1142
Phone (732) 265-8676

43 Bridge St
Metuchen, NJ 08840-2278
Phone (732) 248-8889

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00700900NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Metuchen Vision LLC Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Somerset Eye Care, LLC Optometrist CurrentSince Oct 13, 2020 Accepting new patients

Locations

43 Bridge St
Metuchen, NJ 08840
Phone (732) 248-8889

2090 State Route 27
Ste 105
North Brunswick, NJ 08902
Phone (732) 265-8676

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1205433570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 STATE ROUTE 27 STE 105",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021142",
            "telephone_number": "732-658-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 STATE ROUTE 27 STE 105",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021142",
            "telephone_number": "732-658-6765",
            "fax_number": "732-568-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHLON",
        "first_name": "SUKHPREET",
        "middle_name": "KAUR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00700900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.