GILLIAN GEORGE OD NPI 1114039302

NPI Information

  • NPI: 1114039302
  • Provider Name: GILLIAN GEORGE, OD
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2376 GRAND CONCOURSE
    BRONX, NY
    ZIP 10458
  • Phone: (718) 365-6300

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NPI Details

Gillian George, OD is an optometrist in Bronx, NY. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. Gillian George, OD NPI is 1114039302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2376 GRAND CONCOURSE
BRONX, NY
ZIP 10458-907
Phone: (718) 365-6300
Fax: (718) 365-5620

The NPI 1114039302 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/31/2006 and was last updated on 12/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristOPT5016MASSACHUSETTSNo
2152W00000XOptometrist006888NEW YORKNo
3152W00000XOptometrist27OA00592600NEW JERSEYYes
4152W00000XOptometrist4070-35WISCONSINNo
5152W00000XOptometristOEG002886PENNSYLVANIANo
6152W00000XOptometristOPT.0004101COLORADONo
7152W00000XOptometrist3940MINNESOTANo
8152W00000XOptometristOPT003056GEORGIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103498217MEDICAIDNEW YORK
20050865MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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