Eyebright Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

14496 Issued in CA

Legal business name

EYEBRIGHT OPTOMETRY

Practice address

3550 Castro Valley Blvd
Castro Valley, CA 94546-4402

Phone

(510) 581-1680

Fax

(510) 581-5070

NPI assigned

Jan 28, 2016

Last updated

Jan 28, 2016By 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

Mary Nguyen, O.D.NPI 1285981274

Title

President

Phone

(510) 859-7892

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Mary Nguyen, O.D.

  • Optometrist
  • Castro Valley, CA
  • NPI 1285981274
  Authorized official Same address or phone
• David Jason Border, OD

  • Optometrist
  • Ceres, CA
  • NPI 1003171661
  NPD
• Kaiyun Kathleen Mai, O.D.

  • Optometrist
  • Castro Valley, CA
  • NPI 1730436643
  NPD
• John Sic-Yiu Liu

  • Optometrist
  • Castro Valley, CA
  • NPI 1114949419
  NPD (past)

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1285091702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 CASTRO VALLEY BLVD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464402",
            "telephone_number": "510-581-1680",
            "fax_number": "510-581-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 CASTRO VALLEY BLVD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464402",
            "telephone_number": "510-581-1680",
            "fax_number": "510-581-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEBRIGHT OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-859-7892",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmin Oropeza Eufracio
• Evergreen at Castro Valley, L.L.C. (Evergreen Castro Valley)
• Jane Henderson Eversole, PT, MA
• Exceed GS LLC (Exceed Medical Group)
• Eye Specialties Medical Group Inc.
• Rebecca Lee Fallen
• Samuel Hailemariam Fantaye, MD
• Joell Farrar
• Joseph P Farrell, PHYSICAL THERAPIST
• Farnoosh Farrokhi

• Optometrist in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.