Organization Active NPI

Wendy Ni, O.D. Inc.

  • Optometrist
  • Los Altos, CA
National Provider Identifier
1205080728
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12738T Issued in CA
Legal business name
WENDY NI, O.D. INC.
Practice address
261 Main St
Los Altos, CA 94022-2909
Phone
(650) 947-3937
Fax
(650) 947-3935
NPI assigned
Nov 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Dr. Wendy Ni, O.D.
Title
Owner
Phone
(650) 947-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12738T CA Primary

Addresses

Primary practice location

261 Main St
Los Altos, CA 94022-2909

Mailing address

215 Main St
Los Altos, CA 94022-2909
Phone (650) 947-3937

Other names 1

  • Eyes Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091002000360 CA Part B Supplier - Clinic/Group Practice 4587700679 Receives reassigned benefits from 1 practitioner
Practice locations: Los Altos, CA

National Provider Directory

National Provider Directory

Locations

215 Main St
Los Altos, CA 94022
Phone (650) 947-3937

261 Main St
Los Altos, CA 94022
Phone (650) 947-3937

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1205080728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MAIN ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222909",
            "telephone_number": "650-947-3937",
            "fax_number": "650-947-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 MAIN ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222909",
            "telephone_number": "650-947-3937",
            "fax_number": "650-947-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY NI, O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "NI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-947-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12738T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.