Amarjeet S Gill, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4441 Issued in MA

Practice address

473 Main St
Fiskdale, MA 01518-1293

Phone

(508) 347-7997

Fax

(508) 347-7998

NPI assigned

Nov 13, 2006

Last updated

Mar 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Optometry

Education

New England College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Sturbridge Professional Services, P.C.

  • Pediatrics Physician
  • Southbridge, MA
  • NPI 1659418986
  Medicare reassignment NPD

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1306917075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 FISKE HILL RD",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661231",
            "telephone_number": "508-347-9844",
            "fax_number": "508-347-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 MAIN ST",
            "city": "FISKDALE",
            "state": "MA",
            "postal_code": "015181293",
            "telephone_number": "508-347-7997",
            "fax_number": "508-347-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "AMARJEET",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0702510",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DME Living Well, LLC (DME Living Well)
• Bradley Ellithorpe
• Nora L Fabrycki, APRN-BC
• Laura Elizabeth Gabriel, APRN
• Gemini Mental Health Counseling
• Robert Marlowe Johnson, PHD
• Bruce A Kolbe, M.D.
• Stephanie Lynn Mancini-Dubrey, MSW
• Vedi Patel
• Melissa Ann Recore, LMHC

• Optometrist in Fiskdale, MA
• Providers in Fiskdale, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.