Individual provider Active NPI

Allen Lee Beede, O.D.

  • Optometrist
  • San Jose, CA
National Provider Identifier
1316965247
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
111030T Issued in CA
Practice address
1530 The Alameda
Ste 210
San Jose, CA 95126-2303
Phone
(408) 294-3722
Fax
(408) 294-2408
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 111030T CA Primary

Addresses

Primary practice location

1530 The Alameda
Ste 210
San Jose, CA 95126-2303

Mailing address

1530 The Alameda
Ste 210
San Jose, CA 95126-2303
Phone (408) 294-3722

Other identifiers 1

IdentifierTypeStateIssuer
SD0111030MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110324000517 CA Practitioner - Optometry 0345350880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Allen L Beede OD and Lisa Shiroishi ODGroup PAC ID 4789890609, 2 clinicians

Practice addresses (Care Compare)

1530 The Alameda
Suite 210
San Jose, CA 95126-2303
Phone (408) 294-3722

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11103CAMDDental Hygienist
111030TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Allen L. Beede, O.D. & Lisa Shiroishi, O.D. Optometrist CurrentSince Nov 15, 1999 Accepting new patients

Locations

1530 The Alameda
Ste 210
San Jose, CA 95126
Phone (408) 294-3722

240 Meridian Ave
Ste 3
San Jose, CA 95126
Phone (408) 294-3722

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1316965247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 THE ALAMEDA",
            "address_2": "STE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262303",
            "telephone_number": "408-294-3722",
            "fax_number": "408-294-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 THE ALAMEDA",
            "address_2": "STE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262303",
            "telephone_number": "408-294-3722",
            "fax_number": "408-294-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEDE",
        "first_name": "ALLEN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "111030T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0111030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.