Gulsah Kilic, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC6186 Issued in FL

Practice address

3224 N Poinciana Blvd
Kissimmee, FL 34746-4688

Phone

(407) 861-5292

NPI assigned

Jun 29, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• National Vision Inc

  • Optometrist
  • Kissimmee, FL
  • NPI 1477128510
  NPD
• National Vision, Inc.

  • Optician
  • Clifton, NJ
  • NPI 1346747227
  NPD (past)

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1821720772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 N POINCIANA BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464688",
            "telephone_number": "407-861-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 N POINCIANA BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464688",
            "telephone_number": "407-861-5292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Kingsland Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070141915",
            "country_code": "US",
            "telephone_number": "973-405-2548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILIC",
        "first_name": "GULSAH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00713500",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Therapy Tower
• Kidsville Pediatrics II, P.a.
• Kidsville Pediatrics V, P.a.
• Kidz Village Therapy Clinic LLC
• Gloryanne Nichole Kilgore
• Thomas Kim, MD
• Young Heon Kim
• Florence Kimball
• Kimble, Inc.
• Kind Care for You, Inc

• Optometrist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.