Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimi Kaur

Individual provider Optometrist · NPI 1164165692

Kimi Kaur is an Optometry in Manteca, California. Qualified in 2022, 4 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

2440 Daniels St
Manteca, CA 95337-6745
Phone: (209) 825-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5460 E La Palma Ave, Anaheim, CA 92807-2023 — (209) 740-1398

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 35262 (CA)

Record details

NPI number1164165692
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 13, 2022
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022
Mailing address1860 Matterhorn St, Manteca, CA 95337-6687

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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