Advance Vision Center of Optometry, P C

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

COR 964 Issued in CA

Legal business name

ADVANCE VISION CENTER OF OPTOMETRY, P C

Practice address

545 Meridian Ave
#G
San Jose, CA 95126-3451

Phone

(408) 947-2020

Fax

(408) 947-2077

NPI assigned

Jan 2, 2007

Last updated

Aug 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cindy Martinez

Title

Office Manager

Phone

(408) 947-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Ken Lee, O.D.

  • Optometrist
  • Brea, CA
  • NPI 1528291267
  Medicare reassignment Care Compare group NPD
• Afsaneh Mahajerani, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1093831281
  Medicare reassignment Care Compare group NPD
• Burton E Worrell, O.D.

  • Sports Vision Optometrist
  • San Jose, CA
  • NPI 1083762512
  Medicare reassignment Care Compare group NPD
• James Shin, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1518015056
  Medicare reassignment Care Compare group
• Lisa M Limtiaco, O.D.

  • Low Vision Rehabilitation Optometrist
  • Encino, CA
  • NPI 1902813330
  Medicare reassignment NPD
• Somi Oh, O.D.

  • Optometrist
  • Santa Clara, CA
  • NPI 1629117940
  Medicare reassignment

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1174680771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 MERIDIAN AVE",
            "address_2": "#G",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263451",
            "telephone_number": "408-947-2020",
            "fax_number": "408-947-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 MERIDIAN AVE",
            "address_2": "#G",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263451",
            "telephone_number": "408-947-2020",
            "fax_number": "408-947-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE VISION CENTER OF OPTOMETRY, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-947-2020"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "COR 964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in San Jose, CA
• Providers in San Jose, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.