Visual Edge Optomertic Group

Primary specialty

OptometristTaxonomy code 152W00000X

License

8766T Issued in CA

Legal business name

VISUAL EDGE OPTOMERTIC GROUP

Practice address

8050 Santa Teresa Blvd
Suite 110
Gilroy, CA 95020-3862

Phone

(408) 842-2020

Fax

(408) 842-0312

NPI assigned

Oct 21, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Peter E Kovach, O.D.NPI 1568593689

Title

Vice President

Phone

(408) 842-2020

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Dylan Patel, OD

  • Optometrist
  • Gilroy, CA
  • NPI 1346925153
  Medicare reassignment Care Compare group NPD
• Paresh K Patel, O.D.

  • Optometrist
  • Gilroy, CA
  • NPI 1285773804
  Medicare reassignment Care Compare group NPD
• Peter Elliot Kovach, O.D.

  • Optometrist
  • Gilroy, CA
  • NPI 1568593689
  Medicare reassignment Authorized official
• Isabella Samantha Myers, O.D.

  • Optometrist
  • Gilroy, CA
  • NPI 1568918225
  Medicare reassignment Care Compare group
• Daniel Otis Brown, O.D.

  • Optometrist
  • Gilroy, CA
  • NPI 1477690626
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1225028236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 SANTA TERESA BLVD",
            "address_2": "SUITE 110",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203862",
            "telephone_number": "408-842-2020",
            "fax_number": "408-842-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 SANTA TERESA BLVD",
            "address_2": "SUITE 110",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203862",
            "telephone_number": "408-842-2020",
            "fax_number": "408-842-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISUAL EDGE OPTOMERTIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "KOVACH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "408-842-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8766T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD004630",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0087660",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1225028236",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Elena Fernandez Villicana
• Edward Leroy Vines, D.D.S.
• Colin B Vinh
• Susan Virrueta Soriano
• Oralia G Viscarra Partida
• Gina Vitali
• Diep Tran Ngoc Vo, DDS
• My Hien Vo, DC, BCBA
• Steven Thomas Wai, M.D.
• Wajta, LLC

• Optometrist in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.