Organization Active NPI

Sunrise Eyewear and Optometry, Inc.

  • Point of Service
  • San Jose, CA
National Provider Identifier
1073907176
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
OPT 11933 Issued in CA
Legal business name
SUNRISE EYEWEAR AND OPTOMETRY, INC.
Practice address
1818 Tully Rd
San Jose, CA 95122-1883
Phone
(408) 274-0998
Fax
(408) 274-2060
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Dr. Tammy Nguyen, O.D.
Title
Optometrist
Phone
(408) 274-0998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X OPT 11933 CA Primary

Addresses

Primary practice location

1818 Tully Rd
San Jose, CA 95122-1883

Mailing address

1818 Tully Rd
158B
San Jose, CA 95122-1883
Phone (408) 274-0998

Other names 1

  • Sunrise Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

1818 Tully Rd
Ste 158B
San Jose, CA 95122
Phone (408) 274-0998

1818 Tully Rd
San Jose, CA 95122
Phone (408) 274-0998

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1073907176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 TULLY RD",
            "address_2": "158B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221883",
            "telephone_number": "408-274-0998",
            "fax_number": "408-274-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 TULLY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221883",
            "telephone_number": "408-274-0998",
            "fax_number": "408-274-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE EYEWEAR AND OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "408-274-0998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "OPT 11933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 26, 2015; 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.