Active NPI
Gurjeevan Hothi, O.D.
- Optometrist
- Tucson, AZ
National Provider Identifier
1952832818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2167
- Practice address
- 3499 E Broadway Blvd
Tucson, AZ 85716-5410 - Phone
- (520) 232-2333
- NPI assigned
- Mar 22, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2167 | AZ | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 2167 | AZ |
Addresses
Primary practice location
3499 E Broadway Blvd
Tucson, AZ 85716-5410
Mailing address
19923 E Country Hollow Dr
Walnut, CA 91789-5336
Phone (909) 576-6522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2167 | AZ | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America'S Best Contacts & Eyeglasses | Past | Accepting new patients | |
| Emergency Medical & Surgical Specialists of Colorado LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optician
- Tucson, AZ
- NPI 1427391572
-
- Critical Access Hospital
- Denver, CO
- NPI 1144669102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1952832818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19923 E COUNTRY HOLLOW DR",
"city": "WALNUT",
"state": "CA",
"postal_code": "917895336",
"telephone_number": "909-576-6522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3499 E BROADWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857165410",
"telephone_number": "520-232-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOTHI",
"first_name": "GURJEEVAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-22",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "2167",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "AZ",
"license": "2167",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.