Active NPI
Sandeep Kaur Gill, OD
- Optometrist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35545TPA
- Practice address
- 8128 Delta Shores Cir S Ste 130
Sacramento, CA 95832-9108 - Phone
- (916) 629-8034
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046011280 | IL | |
| Optometrist | 152W00000X | 35545TPA | CA | Primary |
Addresses
Primary practice location
8128 Delta Shores Cir S Ste 130
Sacramento, CA 95832-9108
Mailing address
1805 Seneca Dr
Hanover Park, IL 60133-6751
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35545TPA | CA | MD | Optometrist |
| 046011280 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tedder Optometric Corporation, PC | Optometrist | Current | Accepting new patients |
| Avani Patel Optometric Corporation | Optometrist | Current | Accepting new patients |
| Hansra Optometric Corporation | Current | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
825 E Bidwell St
Ste 100
Folsom, CA 95630
Phone (279) 202-1202
4983 N Blackstone Ave
Fresno, CA 93726
Phone (510) 731-7873
23625 El Toro Rd
Ste E
Lake Forest, CA 92630
Phone (949) 227-2524
1208 Galleria Blvd
Ste 160
Roseville, CA 95678
Phone (279) 214-0170
1151 Galleria Blvd
Ste 175
Roseville, CA 95678
Phone (510) 731-7873
8128 Delta Shores Cir S
Ste 130
Sacramento, CA 95832
Phone (916) 629-8033
Organizations & group practices 4
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.
-
- Optometrist
- Fresno, CA
- NPI 1659096220
-
- Optometrist
- Lake Forest, CA
- NPI 1679262158
-
- Eyewear Supplier
- Sacramento, CA
- NPI 1366258436
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1467911347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 SENECA DR",
"city": "HANOVER PARK",
"state": "IL",
"postal_code": "601336751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8128 DELTA SHORES CIR S STE 130",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958329108",
"telephone_number": "916-629-8034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "SANDEEP",
"middle_name": "KAUR",
"name_prefix": "Miss",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046011280",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35545TPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.