Blossom Valley Optometry, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BLOSSOM VALLEY OPTOMETRY, INC

Doing business as

Blossom Valley Eyecare

Practice address

590 Blossom Hill Rd
San Jose, CA 95123-3212

Phone

(408) 227-2020

NPI assigned

Jan 2, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Phuong Pham, O.D.

Title

Owner

Phone

(408) 807-4344

Specialties & licenses 1

Addresses

Other names 1

• Blossom Valley Eyecare Doing business as

Locations

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1336611367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 BLOSSOM HILL RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233212",
            "telephone_number": "408-227-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 BLOSSOM HILL RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233212",
            "telephone_number": "408-227-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM VALLEY OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-807-4344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Valley Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Brandon Bloom, M.D.
• Maelise Blosse
• Blossom Dental Excellence, Inc
• Blossom Hill Dental Clinic
• Blossom Valley Eyecare
• Blossoming Voices
• Andrew Jeremiah Blount
• Blu Transport, LLC
• Blue Peak Healthcare Billing LLC
• Blue Sky Surgical

• Optometrist in San Jose, CA
• Providers in San Jose, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.