Individual provider Active NPI

William L Choi, OD

  • Optometrist
  • San Jose, CA
National Provider Identifier
1356426860
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10882T Issued in CA
Practice address
42 S 1St St
San Jose, CA 95113-2409
Phone
(408) 295-0246
NPI assigned
Oct 25, 2006
Last updated
Mar 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10882T CA Primary

Addresses

Primary practice location

42 S 1St St
San Jose, CA 95113-2409

Mailing address

42 S 1St St
San Jose, CA 95113-2409

Other identifiers 1

IdentifierTypeStateIssuer
SD0108820MedicaidCA

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
I20040322000899 CA Practitioner - Optometry 6406746684 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10882CAMDProfessional Counselor
10882TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes of Woodland Optometry, Apc Optometrist CurrentSince Oct 25, 2024 Accepting new patients
In Focus Optometry, Inc Optometrist CurrentSince Oct 11, 2009 Accepting new patients
In Focus Optometry, Inc Optometrist PastSince Oct 11, 2009 Accepting new patients

Locations

1375 Blossom Hill Rd
Ste 7
San Jose, CA 95118
Phone (408) 264-1264

42 S 1st St
San Jose, CA 95113
Phone (408) 295-0246

421 Pioneer Ave
Ste B
Woodland, CA 95776
Phone (530) 661-0300

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1356426860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 S 1ST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951132409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 S 1ST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951132409",
            "telephone_number": "408-295-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10882T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0108820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.