Organization Active NPI

Advanced Eye Associates

  • Durable Medical Equipment & Medical Supplies
  • San Jose, CA
National Provider Identifier
1043345051
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5797900001 Issued in CA
Legal business name
ADVANCED EYE ASSOCIATES
Practice address
200 Jose Figueres Ave
Suite 350
San Jose, CA 95116-1585
Phone
(408) 923-8138
Fax
(408) 923-8214
NPI assigned
Feb 22, 2007
Last updated
Feb 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Danny Luong, M.D.NPI 1386750438
Title
Ceo
Phone
(408) 923-8138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT12726 CA
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X OPT12795 CA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 00G805732 CA
Durable Medical Equipment & Medical Supplies 332B00000X 5797900001 CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave
Suite 350
San Jose, CA 95116-1585

Mailing address

200 Jose Figueres Ave
Suite 350
San Jose, CA 95116-1585
Phone (408) 923-8138

Other identifiers 1

IdentifierTypeStateIssuer
GSD005300MedicaidCA

National Provider Directory

National Provider Directory

Locations

2360 McKee Rd
Ste 5
San Jose, CA 95116
Phone (408) 923-8138

200 Jose Figueres Ave
Ste 350
San Jose, CA 95116
Phone (408) 923-8138

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCIGBA

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1043345051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "SUITE 350",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161585",
            "telephone_number": "408-923-8138",
            "fax_number": "408-923-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "SUITE 350",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161585",
            "telephone_number": "408-923-8138",
            "fax_number": "408-923-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-923-8138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12726",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "OPT12795",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "00G805732",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "5797900001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD005300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.