Organization Active NPI

Carey Vision Medical Group, Inc.

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1386738722
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CAREY VISION MEDICAL GROUP, INC.
Practice address
2110 Forest Ave
Suite B
San Jose, CA 95128-1469
Phone
(408) 295-3433
Fax
(408) 293-4872
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Bart A Carey, MD
Title
Owner
Phone
(408) 295-3433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2110 Forest Ave
Suite B
San Jose, CA 95128-1469

Mailing address

2110 Forest Ave
Suite B
San Jose, CA 95128-1469
Phone (408) 295-3433

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1386738722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 FOREST AVE",
            "address_2": "SUITE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281469",
            "telephone_number": "408-295-3433",
            "fax_number": "408-293-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 FOREST AVE",
            "address_2": "SUITE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281469",
            "telephone_number": "408-295-3433",
            "fax_number": "408-293-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREY VISION MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-295-3433",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "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 Aug 24, 2010; 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.