Individual provider Active NPI

Deepika Garg, O.D.

  • Optometrist
  • Baileys Crossroads, VA
National Provider Identifier
1740631159
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT34776-TLG Issued in CA
Practice address
5503 Leesburg Pike
Baileys Crossroads, VA 22041-3109
Phone
(317) 702-4854
NPI assigned
Jun 27, 2016
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT34776-TLG CA Primary

Addresses

Primary practice location

5503 Leesburg Pike
Baileys Crossroads, VA 22041-3109

Mailing address

433 Mavis Dr
Pleasanton, CA 94566-6809
Phone (317) 702-4854

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230301000705 CA Practitioner - Optometry 4789944059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doris H Wong Optometric CorporationGroup PAC ID 6507095882, 5 clinicians

Practice addresses (Care Compare)

175 Market PL
San Ramon, CA 94583-4741
Phone (925) 275-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34776CAMDGeneral Practice Dentistry
OPT34776-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Jan 30, 2023 Accepting new patients
Doris H Wong Optometric Corporation Optometrist CurrentSince Mar 18, 2024 Accepting new patients

Locations

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

530 Bush St
Ste 101
San Francisco, CA 94108
Phone (415) 291-8560

5515 Geary Blvd
San Francisco, CA 94121
Phone (415) 387-3553

175 Market Pl
San Ramon, CA 94583
Phone (925) 275-0202

Organizations & group practices 2

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1740631159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 MAVIS DR",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666809",
            "telephone_number": "317-702-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 LEESBURG PIKE",
            "city": "BAILEYS CROSSROADS",
            "state": "VA",
            "postal_code": "220413109",
            "telephone_number": "317-702-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARG",
        "first_name": "DEEPIKA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34776-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baileys Crossroads, VA

Sources for this page

Verify at the official NPI Registry.