Active NPI
Cupertino Village Optometry, Apc
- Optometrist
- Cupertino, CA
National Provider Identifier
1043640675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12434TPL
- Legal business name
- CUPERTINO VILLAGE OPTOMETRY, APC
- Practice address
- 10969 N Wolfe Rd
Cupertino, CA 95014-0617 - Phone
- (408) 873-1718
- Fax
- (408) 873-1026
- NPI assigned
- Nov 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kai Shum
- Title
- Cfo
- Phone
- (408) 873-1718
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12434TPL | CA | Primary |
Addresses
Primary practice location
10969 N Wolfe Rd
Cupertino, CA 95014-0617
Mailing address
10969 N Wolfe Rd
Cupertino, CA 95014-0617
Phone (408) 873-1718
National Provider Directory
National Provider DirectoryLocations
10969 N Wolfe Rd
Cupertino, CA 95014
Phone (408) 873-1718
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Cupertino, CA
- NPI 1356374326
-
- Optometrist
- Cupertino, CA
- NPI 1548312515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384732800000",
"number": "1043640675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10969 N WOLFE RD",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950140617",
"telephone_number": "408-873-1718",
"fax_number": "408-873-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10969 N WOLFE RD",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950140617",
"telephone_number": "408-873-1718",
"fax_number": "408-873-1026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUPERTINO VILLAGE OPTOMETRY, APC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-18",
"last_updated": "2013-11-18",
"status": "A",
"authorized_official_last_name": "SHUM",
"authorized_official_first_name": "KAI",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "408-873-1718"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "12434TPL",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.