Individual provider Active NPI

Simran Gill, OD

  • Student in an Organized Health Care Education/Training Program
  • Erie, PA
National Provider Identifier
1508606229
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
300 State St Ste 200
Erie, PA 16507-1429
Phone
(814) 453-4575
NPI assigned
May 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

300 State St Ste 200
Erie, PA 16507-1429

Mailing address

27021 Ashgate Xing
Plainfield, IL 60585-2909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240912001304 NY Practitioner - Optometry 3072053479 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University Eye Specialists, PC CurrentSince Sep 3, 2024 Accepting new patients
Edward M. Zimm, P.C. CurrentSince Jun 2, 2024 Accepting new patients
Stamm Cataract and Laser Center Inc PastSince Jun 2, 2024 Accepting new patients

Locations

217 Summit St
Batavia, NY 14020
Phone (585) 345-1147

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

6003 Big Tree Rd
Lakeville, NY 14480
Phone (585) 346-2400

2469 State Route 19 N
Warsaw, NY 14569
Phone (585) 786-2288

300 State St
Ste 200
Erie, PA 16507
Phone (814) 453-4575

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1508606229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27021 ASHGATE XING",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071429",
            "telephone_number": "814-453-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "SIMRAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.