Brian Allan Gin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13125T Issued in CA

Practice address

39355 California St
Suite 103
Fremont, CA 94538-1447

Phone

(510) 744-2010

Fax

(510) 744-2015

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fremont Optometric GroupGroup PAC ID 9638118342, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Fremont Optometric Group

  • Optometrist
  • Fremont, CA
  • NPI 1619991080
  Medicare reassignment Care Compare group NPD
• Studio Optics Optometric Group, Inc.

  • Ophthalmology Physician
  • Santa Clara, CA
  • NPI 1083617302
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1902813322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39355 CALIFORNIA ST",
            "address_2": "SUITE 103",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381447",
            "telephone_number": "510-744-2010",
            "fax_number": "510-744-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39355 CALIFORNIA ST",
            "address_2": "SUITE 103",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381447",
            "telephone_number": "510-744-2010",
            "fax_number": "510-744-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIN",
        "first_name": "BRIAN",
        "middle_name": "ALLAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13125T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0022890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sukhmani Gill, MD
• Samantha Gille
• Daniel Edward Giller
• Luke Gillespie
• Jennifer Gilpin, REGISTERED DIETITIAN
• Victor Gin, OD
• Ginto Home Health LLC
• Meenu Giri, DMD
• Edith Jeanette Givens, MFT
• GL Ca Clia LLC

• Optometrist in Fremont, CA
• Providers in Fremont, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.