Active NPI
Jeffrey Alan Holbert, O.D.
- Optometrist
- Sunnyvale, CA
National Provider Identifier
1023352176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 05876T
- Practice address
- 320 W. El Camino Real
Suite B1
Sunnyvale, CA 94087 - Phone
- (408) 245-5725
- NPI assigned
- Nov 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 05876T | CA | Primary |
Addresses
Primary practice location
320 W. El Camino Real
Suite B1
Sunnyvale, CA 94087
Mailing address
320 W El Camino Real
Suite B1
Sunnyvale, CA 94087-1306
Phone (408) 245-5725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05876T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1023352176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 W EL CAMINO REAL",
"address_2": "SUITE B1",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940871306",
"telephone_number": "408-245-5725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 W. EL CAMINO REAL",
"address_2": "SUITE B1",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "94087",
"telephone_number": "408-245-5725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBERT",
"first_name": "JEFFREY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "05876T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.