MEDICARE: PANEET KAUR KHAIRA OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	36239	CA

General Provider Information

NPI Number	:	1114720646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PANEET KAUR KHAIRA OD

Provider Business Mailing Address
First Line	:	1671 WHIRLAWAY LN
Second Line	:
City	:	TRACY
State	:	CA
Zip	:	95377-8354
Country	:	US
Telephone Number	:	209-627-6222
Fax Number	:

Provider Business Practice Location Address
First Line	:	991 E MONTE VISTA AVE STE 1
Second Line	:
City	:	TURLOCK
State	:	CA
Zip	:	95382-0637
Country	:	US
Telephone Number	:	209-634-8591
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2025
Last Update Date	:	06/01/2026

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Directions to “ PANEET KAUR KHAIRA OD” Practice Location

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