Mona Kaur Gill, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14052 Issued in CA

Practice address

300 James Way Ste 210
Pismo Beach, CA 93449-2874

Phone

(805) 773-6000

Fax

(805) 773-2120

NPI assigned

Dec 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mona Gill O D CorpGroup PAC ID 8820494099, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Mona Gill O D Corp

  • Optometrist
  • Pismo Beach, CA
  • NPI 1891365003
  Medicare reassignment Care Compare group NPD Authorized official
• George Yaplee Medical Center Inc.

  • Ophthalmology Physician
  • Bakersfield, CA
  • NPI 1841368925

  Optometrist

  NPD (past)
• Scott E Schachter Oda Professional Corporation

  • Optometrist
  • Pismo Beach, CA
  • NPI 1578698312
  NPD (past)

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1477856003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JAMES WAY STE 210",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492874",
            "telephone_number": "805-773-6000",
            "fax_number": "805-773-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JAMES WAY STE 210",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492874",
            "telephone_number": "805-773-6000",
            "fax_number": "805-773-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "MONA",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-21",
        "last_updated": "2021-09-01",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford L Gelman, MD
• Matthew Theodore Georgis, MD
• Stephen Giacomazzi, MD
• Giancarlo a. Lauriente, DDS, Inc.
• Amy M. Gibson, CMT
• Cynthia Ann Gilmore, CNM
• Jennifer Lee Gingrich, P.A.-C
• Gold Coast Pain and Wellness Center a Medical Corporation
• Karen Myrl Ramos Goodman, MD
• Slade Arthur Goodrich, PHARMD

• Optometrist in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.