Los Gatos Eye Care a Professional Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LOS GATOS EYE CARE A PROFESSIONAL OPTOMETRIC CORPORATION

Practice address

15563 Union Ave
Los Gatos, CA 95032

Phone

(408) 377-2020

NPI assigned

Sep 6, 2007

Last updated

Jun 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqui Hernandez

Title

Optitian

Phone

(408) 377-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 8

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.

• Michelle Cristi, OD

  • Optometrist
  • Los Gatos, CA
  • NPI 1710875703
  Medicare reassignment Care Compare group NPD
• Ilene Beth Polhemus, O.D.

  • Optometrist
  • Los Gatos, CA
  • NPI 1114907391
  Medicare reassignment Care Compare group NPD
• Magdelena Cachu-Enciso, OD

  • Optometrist
  • Los Gatos, CA
  • NPI 1891318705
  Medicare reassignment NPD
• Sarah Kwok

  • Optometrist
  • Los Gatos, CA
  • NPI 1770931230
  NPD
• Ivana Hwang, OD

  • Optometrist
  • Los Gatos, CA
  • NPI 1235617424
  NPD (past)
• Sathyasri Narasimhan

  • Optometrist
  • Los Gatos, CA
  • NPI 1245786805
  NPD (past)
• Paige Tang, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1457575722
  NPD (past)
• Ladan Mohtadi Rouhani, O.D.

  • Optometrist
  • Frisco, TX
  • NPI 1487719274
  NPD (past)

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1043405681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15563 UNION AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15563 UNION AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-377-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS GATOS EYE CARE A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JACQUI",
        "authorized_official_title_or_position": "OPTITIAN",
        "authorized_official_telephone_number": "408-377-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Los Gatos Care Holdings, LLC (Invigorate Post Acute of Los Gatos)
• Los Gatos Community Audiology and Hearing Aid Center (Los Gatos Audiology)
• Los Gatos Community CT, Inc.
• Los Gatos Dental Specialists
• Los Gatos Dental Specialists
• Los Gatos Eyes, Inc. (Site For Sore Eyes)
• Los Gatos Family Chiropractic Renbarger Inc
• Los Gatos Hand Therapy, LLC
• Los Gatos Medical Center
• Los Gatos Medical Center ASC

• Optometrist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.