Organization Active NPI

Pro Optics Eyewear Corp

  • Optician
  • San Jose, CA
National Provider Identifier
1407998891
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
D7234 Issued in CA
Legal business name
PRO OPTICS EYEWEAR CORP
Practice address
1111 Story Rd
Suite 1079 Grand Century Mall
San Jose, CA 95122
Phone
(408) 288-5037
Fax
(408) 288-9265
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Ms. Linn Kim Lai, RDO
Title
President
Phone
(408) 288-5037

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X D7234 CA Primary
Eyewear Supplier 332H00000X D7165 CA

Addresses

Primary practice location

1111 Story Rd
Suite 1079 Grand Century Mall
San Jose, CA 95122

Mailing address

1111 Story Rd
Suite 1079
San Jose, CA 95122
Phone (408) 288-5037

Other names 1

  • Site For Sore Eyes Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1407998891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 STORY RD",
            "address_2": "SUITE 1079",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95122",
            "telephone_number": "408-288-5037",
            "fax_number": "408-288-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 STORY RD",
            "address_2": "SUITE 1079 GRAND CENTURY MALL",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95122",
            "telephone_number": "408-288-5037",
            "fax_number": "408-288-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO OPTICS EYEWEAR CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "LINN",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-288-5037",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "D7234",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "D7165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Site For Sore Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 29, 2008; 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.