Joshpal Singh Gill, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD61064032 Issued in WA

Practice address

1815 Main St Ste 101
Ferndale, WA 98248-9454

Phone

(360) 746-8890

Fax

(360) 393-4004

NPI assigned

Jun 1, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Vision Plus in Lynden

  • Optometrist
  • Lynden, WA
  • NPI 1205121159
  Medicare reassignment NPD
• Vision Plus Inside Ferndale Haggen

  • Optometrist
  • Ferndale, WA
  • NPI 1467602524
  Medicare reassignment NPD
• Vision Plus of Mount Lake Terrace PLLC

  • Optometrist
  • Mountlake Terrace, WA
  • NPI 1801567292
  Medicare reassignment NPD

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1962026419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 PLOVER CT",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982306321",
            "telephone_number": "209-834-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 MAIN ST STE 101",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489454",
            "telephone_number": "360-746-8890",
            "fax_number": "360-393-4004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 James St",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982253545",
            "country_code": "US",
            "telephone_number": "360-393-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1824 Front St Ste B",
            "address_purpose": "LOCATION",
            "city": "Lynden",
            "state": "WA",
            "postal_code": "982641729",
            "country_code": "US",
            "telephone_number": "360-933-1815",
            "fax_number": "360-933-4617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "JOSHPAL",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-01",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61064032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1278350",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACTIVE STATE LICENSE NUMBER",
            "identifier": "OD61064032",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Genesis Chiropractic Center Inc PS
• Michael Alexander Glen, R.PH.
• Leigh Gongaware, OD
• Megan Good, LMT
• Andrew Gordon Goss, ATC
• Emily Sierra Greathouse, RDH

• Optometrist in Ferndale, WA
• Providers in Ferndale, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.