Active NPI
Vivian Look
- Optometrist
- San Jose, CA
National Provider Identifier
1124672399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34268TLG
- Practice address
- 1035 S de Anza Blvd Ste 1
San Jose, CA 95129-2772 - Phone
- (408) 446-5533
- NPI assigned
- Jul 26, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 34268TLG | CA | Primary |
Addresses
Primary practice location
1035 S de Anza Blvd Ste 1
San Jose, CA 95129-2772
Mailing address
1035 S de Anza Blvd Ste 1
San Jose, CA 95129-2772
Phone (408) 446-5533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34268TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| De Anza Vision Center a Professional Optometric Corp | Optometrist | Current | Accepting new patients |
| Peter W Ross OD & Larry K Wan OD Inc | Optometrist | Current | Accepting new patients |
| Loran Bruce Mebine | Optometrist | Past | Accepting new patients |
Locations
338 E Hamilton Ave
Campbell, CA 95008
Phone (408) 866-2020
1035 S De Anza Blvd
Ste 1
San Jose, CA 95129
Phone (408) 446-5533
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- San Francisco, CA
- NPI 1932191483
-
- Optometrist
- San Jose, CA
- NPI 1760507784
-
- Optometrist
- Campbell, CA
- NPI 1679601066
-
- Optometrist
- San Francisco, CA
- NPI 1275694531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1124672399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 S DE ANZA BLVD STE 1",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951292772",
"telephone_number": "408-446-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 S DE ANZA BLVD STE 1",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951292772",
"telephone_number": "408-446-5533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOK",
"first_name": "VIVIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-26",
"last_updated": "2022-01-21",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34268TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.