Individual provider Active NPI

Gurdaman Kaur Sarkaria, O.D.

  • Optometrist
  • Richmond, VA
National Provider Identifier
1457793069
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002280 Issued in VA
Practice address
1712 E Broad Street
Jencare Neighborhood Medical Shockoe Bottom, LLC
Richmond, VA 23223
Phone
(804) 344-9848
Fax
(804) 344-5644
NPI assigned
Jul 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002280 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1712 E Broad Street
Jencare Neighborhood Medical Shockoe Bottom, LLC
Richmond, VA 23223

Mailing address

1712 E Broad Street
Jencare Neighborhood Medical Shockoe Bottom, LLC
Richmond, VA 23223
Phone (804) 344-9848

Other identifiers 1

IdentifierTypeStateIssuer
0618002280OtherVASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002280VAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1457793069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 E BROAD STREET",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL SHOCKOE BOTTOM, LLC",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23223",
            "telephone_number": "804-344-9848",
            "fax_number": "804-344-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 E BROAD STREET",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL SHOCKOE BOTTOM, LLC",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23223",
            "telephone_number": "804-344-9848",
            "fax_number": "804-344-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKARIA",
        "first_name": "GURDAMAN",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002280",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "0618002280",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.