Organization Active NPI

20-20 Optometry Inc

  • Optometrist
  • San Mateo, CA
National Provider Identifier
1114102720
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
20-20 OPTOMETRY INC
Practice address
115 W 25TH Ave
San Mateo, CA 94403-2259
Phone
(650) 349-5733
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Gregory Tom, O.D.
Title
Ceo
Phone
(650) 349-5733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

115 W 25TH Ave
San Mateo, CA 94403-2259

Mailing address

115 W 25TH Ave
San Mateo, CA 94403-2259
Phone (650) 349-5733

National Provider Directory

National Provider Directory

Locations

115 W 25th Ave
San Mateo, CA 94403
Phone (415) 349-5733

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1114102720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 25TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032259",
            "telephone_number": "650-349-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 25TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032259",
            "telephone_number": "650-349-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20-20 OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-349-5733",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.