Individual provider Active NPI

Kiran Gill, OD

  • Optometrist
  • Roseville, CA
National Provider Identifier
1386138121
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
976 Issued in NV
Practice address
9221 Sierra College Blvd Ste 130
Roseville, CA 95661-5934
Phone
(916) 797-6747
Fax
(916) 797-6728
NPI assigned
Jun 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 976 NV Primary

Addresses

Primary practice location

9221 Sierra College Blvd Ste 130
Roseville, CA 95661-5934

Mailing address

9221 Sierra College Blvd Ste 130
Roseville, CA 95661-5934
Phone (916) 797-6747

Other practice location 1

100 Gateway Dr Ste 130
Lincoln, CA 95648-3303
Phone (916) 434-6225

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240924001213 CA Practitioner - OptometryPractitioner - Ophthalmology 6608123328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OptometryAlso: Ophthalmology
Education
Pacific University - College of Optometry, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Granite Pointe Eye Care IncGroup PAC ID 4789582669, 8 clinicians

Practice addresses (Care Compare)

9221 Sierra College Blvd
Suite 130
Roseville, CA 95661-5934
Phone (916) 797-6747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pritchett Eye Care Optometrist CurrentSince Jun 29, 2018 Accepting new patients
Granite Pointe Eye Care, Inc., an Optometric Corporation Optometrist CurrentSince Sep 5, 2024 Accepting new patients
Melody O. Quenzer, O.D., Inc. Optometrist CurrentSince Sep 5, 2024 Accepting new patients
Granite Pointe Eye Care, Inc., an Optometric Corporation Optometrist CurrentSince Sep 5, 2024 Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince Jun 29, 2018 Accepting new patients
Pritchett Eye Care PC Optometrist Current Accepting new patients

Locations

100 Gateway Dr
Ste 130
Lincoln, CA 95648
Phone (916) 434-6225

5080 Foothills Blvd
Ste 2
Roseville, CA 95747
Phone (916) 784-0980

9221 Sierra College Blvd
#130
Roseville, CA 95661
Phone (916) 797-6747

1987 N Carson St
Ste 5
Carson City, NV 89701
Phone (775) 883-2015

5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436
Phone (775) 359-2020

Organizations & group practices 6

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1386138121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 SIERRA COLLEGE BLVD STE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615934",
            "telephone_number": "916-797-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 SIERRA COLLEGE BLVD STE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615934",
            "telephone_number": "916-797-6747",
            "fax_number": "916-797-6728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Gateway Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "CA",
            "postal_code": "956483303",
            "country_code": "US",
            "telephone_number": "916-434-6225",
            "fax_number": "916-434-6023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "KIRAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.