Individual provider Active NPI

Gurpinderjeet Kaur, O.D.

  • Optometrist
  • Ontario, OH
National Provider Identifier
1871889394
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6046 T2961 Issued in OH
Practice address
1991 Park Ave W
Ontario, OH 44906-2233
Phone
(419) 521-3937
NPI assigned
Jun 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6046 T2961 OH Primary

Addresses

Primary practice location

1991 Park Ave W
Ontario, OH 44906-2233

Mailing address

1991 Park Ave W
Ontario, OH 44906-2233
Phone (419) 521-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20190405000676 WA Practitioner - Optometry 5799933644 Reassigns benefits to 3 organizations
Practice locations: Bonney Lake, WA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G Kaur OD PLLCGroup PAC ID 9638512940, 3 clinicians

Practice addresses (Care Compare)

18321 Veterans Memorial Dr E
Bonney Lake, WA 98391-7147
Phone (253) 793-1588

20069 Wa-410
Bonney Lake, WA 98391
Phone (253) 793-1588

225 Logan Ave S
Suite 50
Renton, WA 98057-2079
Phone (425) 226-3444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6046 T2961OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jason a. Sifrit OD, Faao & Associates Inc. Optometrist CurrentSince Mar 1, 2019 Accepting new patients
G Kaur, OD, PLLC Optometrist CurrentSince Dec 20, 2023 Accepting new patients
Northwest Family Eye Center, PLLC Optometrist PastSince Jan 28, 2021 Accepting new patients

Locations

18321 Veterans Memorial Dr E
Bonney Lake, WA 98391
Phone (253) 400-2128

20069 State Route 410 E
Bonney Lake, WA 98391
Phone (253) 447-8562

4300 Talbot Rd S
Ste 400
Renton, WA 98055
Phone (425) 235-9911

Organizations & group practices 4

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1871889394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 PARK AVE W",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449062233",
            "telephone_number": "419-521-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 PARK AVE W",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449062233",
            "telephone_number": "419-521-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "GURPINDERJEET",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6046 T2961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OH

Sources for this page

Verify at the official NPI Registry.