Active NPI
Allen Lee Beede, O.D.
- Optometrist
- San Jose, CA
National Provider Identifier
1316965247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 111030T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0111030 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
1530 The Alameda
Suite 210
San Jose, CA 95126-2303
Phone (408) 294-3722
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11103 | CA | MD | Dental Hygienist |
| 111030T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen L. Beede, O.D. & Lisa Shiroishi, O.D. | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.