Organization Active NPI

East Hills Vision Care, an Optometric Corporation

  • Optometrist
  • San Jose, CA
National Provider Identifier
1295892040
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
COR 646 Issued in CA
Legal business name
EAST HILLS VISION CARE, AN OPTOMETRIC CORPORATION
Practice address
1080 S White Rd Ste a
San Jose, CA 95127-3821
Phone
(408) 272-3002
Fax
(408) 272-0820
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Barbara L Jung, O.D.
Title
Optometrist
Phone
(408) 272-3002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X COR 646 CA Primary

Addresses

Primary practice location

1080 S White Rd Ste a
San Jose, CA 95127-3821

Mailing address

1080 S White Rd Ste a
San Jose, CA 95127-3821
Phone (408) 272-3002

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1295892040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 S WHITE RD STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951273821",
            "telephone_number": "408-272-3002",
            "fax_number": "408-272-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 S WHITE RD STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951273821",
            "telephone_number": "408-272-3002",
            "fax_number": "408-272-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HILLS VISION CARE, AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "408-272-3002",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "COR 646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.