Active NPI
John F. Eng, O.D.
- Optometrist
- South San Francisco, CA
National Provider Identifier
1104942127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8222T
- Practice address
- 473 Grand Ave
South San Francisco, CA 94080-3635 - Phone
- (650) 871-4898
- NPI assigned
- Mar 21, 2007
- 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 | 8222T | CA | Primary |
Addresses
Primary practice location
473 Grand Ave
South San Francisco, CA 94080-3635
Mailing address
473 Grand Ave
South San Francisco, CA 94080-3635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0082221 | Medicaid | CA |
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 |
|---|---|---|---|
| 8222T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104942127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 GRAND AVE",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940803635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 GRAND AVE",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940803635",
"telephone_number": "650-871-4898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENG",
"first_name": "JOHN",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "8222T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0082221",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.