Eye Medical Clinic of Santa Clara Valley

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

000G93010 Issued in CA

Legal business name

EYE MEDICAL CLINIC OF SANTA CLARA VALLEY

Practice address

220 Meridian Ave
San Jose, CA 95126-2903

Phone

(408) 869-3401

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Billie Cottrell

Title

Office Manager

Phone

(408) 869-3400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1225256977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262903",
            "telephone_number": "408-869-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262903",
            "telephone_number": "408-869-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE MEDICAL CLINIC OF SANTA CLARA VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "COTTRELL",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-869-3400"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "000G93010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in San Jose, CA
• Providers in San Jose, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.