Individual provider Active NPI

Kiranjeet Kaur Sran, OD

  • Optometrist
  • Bridgewater, NJ
National Provider Identifier
1417477191
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00678500 Issued in NJ
Practice address
325 Promenade Blvd
Bridgewater, NJ 08807-3457
Phone
(732) 898-2398
Fax
(732) 399-6564
NPI assigned
Jun 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008602 NY
Optometrist 152W00000X 27OA00678500 NJ Primary

Addresses

Primary practice location

325 Promenade Blvd
Bridgewater, NJ 08807-3457

Mailing address

45 Gazania Dr
Old Bridge, NJ 08857-6775
Phone (908) 227-1674

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
I20180525000725 NJ Practitioner - Optometry 1658636402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00678500NJMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1417477191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 GAZANIA DR",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088576775",
            "telephone_number": "908-227-1674",
            "fax_number": "732-399-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 PROMENADE BLVD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073457",
            "telephone_number": "732-898-2398",
            "fax_number": "732-399-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRAN",
        "first_name": "KIRANJEET",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008602",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00678500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.