Healthcare Provider Details

I. General information

NPI: 1578249033
Provider Name (Legal Business Name): GURKIRAT KAUR ATKAR OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 01/04/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5575 W LAS POSITAS BLVD STE 240
PLEASANTON CA
94588-5803
US

IV. Provider business mailing address

2500 APRICOT WAY
GILROY CA
95020-7584
US

V. Phone/Fax

Practice location:
  • Phone: 925-460-5000
  • Fax:
Mailing address:
  • Phone: 509-216-8813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOD61451481
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: