Anita Gor, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT12298TLG Issued in CA

Practice address

2040 California Ave. Target
Target Optical
Sand City, CA 93955

Phone

(831) 392-1991

Fax

(831) 393-9329

NPI assigned

Mar 23, 2007

Last updated

Mar 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Merit-based Incentive Payment System (MIPS)

Final score

94.48 of 100Reported as group

Quality

100

Improvement activities

40

Cost

73.39

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Central Valley Eye Medical Group Inc.

  • Eyewear Supplier
  • Manteca, CA
  • NPI 1477675387

  Optometrist

  NPD (past)
• Dr Sylvia K Lee, OD, PHD

  • Optometrist
  • Watsonville, CA
  • NPI 1972549442
  NPD (past)
• Eye Care Medical Group a Professional Corp

  • Medical Specialty Clinic/Center
  • Santa Cruz, CA
  • NPI 1609879436
  NPD (past)
• Green Valley Optometry

  • Optometrist
  • Watsonville, CA
  • NPI 1225505878
  NPD (past)
• Luxottica of America Inc.

  dba Lenscrafters #611

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)
• Pearle Visioncare, Inc

  dba Pearle Vision #C6025

  • Eyewear Supplier
  • San Jose, CA
  • NPI 1174688188
  NPD (past)
• Pearle Visioncare, Inc

  • Eyewear Supplier
  • Richmond, CA
  • NPI 1295890275
  NPD (past)
• Pearle Visioncare, Inc

  dba Pearle Vision #C6011

  • Eyewear Supplier
  • Capitola, CA
  • NPI 1508921594
  NPD (past)
• Walmart Inc.

  dba Walmart Pharmacy 10-3129

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1811014715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CARRIAGE LN",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664700",
            "telephone_number": "831-332-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 CALIFORNIA AVE. TARGET",
            "address_2": "TARGET OPTICAL",
            "city": "SAND CITY",
            "state": "CA",
            "postal_code": "93955",
            "telephone_number": "831-392-1991",
            "fax_number": "831-393-9329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 E CAMPBELL AVE",
            "address_2": "STE 11B",
            "address_purpose": "LOCATION",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082136",
            "country_code": "US",
            "telephone_number": "408-378-4661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Cottage Ave",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953364935",
            "country_code": "US",
            "telephone_number": "209-239-5303",
            "fax_number": "209-239-0090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 W Yokuts Ave",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952075735",
            "country_code": "US",
            "telephone_number": "209-952-3700",
            "fax_number": "209-952-0553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1334 Nelson Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953505341",
            "country_code": "US",
            "telephone_number": "209-597-8800",
            "fax_number": "209-579-1407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOR",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12298TLG",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "OPT12298TLG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation (Costco Optical #131)
• Costco Wholesale Corporation (Costco Hearing Aid #131)
• Costco Wholesale Corporation
• Apple DO
• Garfield Beach CVS LLC (CVS Pharmacy #16447)
• Charles Peter Grandelli
• Tram Quynhphan Le, O.D.
• Won Koo Lee
• Lucky Stores II LLC (Savon Drugs)
• Luxottica of America Inc. (Target Optical #4822)

• Optometrist in Sand City, CA
• Providers in Sand City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.