Individual provider Active NPI

Iqjyot Kaur Gill, O.D.

  • Optometrist
  • Grosse Pointe Woods, MI
National Provider Identifier
1851053003
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005574 Issued in MI
Practice address
20525 Mack Ave
Grosse Pointe Woods, MI 48236-1655
Phone
(313) 881-3249
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 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 4901005574 MI Primary

Addresses

Primary practice location

20525 Mack Ave
Grosse Pointe Woods, MI 48236-1655

Mailing address

7169 Sandpiper St
Portage, MI 49024-7405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20221103001367 MI Practitioner - Optometry 0749657708 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005574MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pointe Vision Care PC Optometrist CurrentSince Dec 6, 2022 Accepting new patients
Heritage Optical Inc. Optometrist PastSince Aug 1, 2022 Accepting new patients

Locations

20525 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 881-3249

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1851053003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7169 SANDPIPER ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361655",
            "telephone_number": "313-881-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "IQJYOT",
        "middle_name": "KAUR",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

Verify at the official NPI Registry.