Dr Gaudreau Optometry Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

14533TLG Issued in CA

Legal business name

DR GAUDREAU OPTOMETRY CORPORATION

Practice address

53 N Santa Cruz Ave
Los Gatos, CA 95030-5916

Phone

(408) 399-8003

Fax

(408) 399-8004

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Parya Gaudreau, O.D.

Title

Optometrist

Phone

(408) 399-8003

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1124579404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 N SANTA CRUZ AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305916",
            "telephone_number": "408-399-8003",
            "fax_number": "408-399-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 N SANTA CRUZ AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305916",
            "telephone_number": "408-399-8003",
            "fax_number": "408-399-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GAUDREAU OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "GAUDREAU",
        "authorized_official_first_name": "PARYA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "408-399-8003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14533TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Oct 20, 2016; 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.