Organization Active NPI

Silicon Valley Eye Institute, a Medical Corporation

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1417031832
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SILICON VALLEY EYE INSTITUTE, A MEDICAL CORPORATION
Practice address
2449 S King Rd
Ste 10
San Jose, CA 95122-1811
Phone
(408) 238-1978
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Barry Y. P. Fung, M.D.NPI 1225079205
Title
Vice-President
Phone
(650) 967-7834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2449 S King Rd
Ste 10
San Jose, CA 95122-1811

Mailing address

2449 S King Rd
Ste 10
San Jose, CA 95122-1811
Phone (408) 238-1978

Other names 1

  • The Eye Institute of Silicon Valley Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081219000148 CA Part B Supplier - Clinic/Group Practice 7810059250 Receives reassigned benefits from 1 practitioner
Practice locations: Los Altos, CA; San Jose, CA

National Provider Directory

National Provider Directory

Locations

4906 El Camino Real
Ste 206
Los Altos, CA 94022

4906 El Camino Real
Ste B
Los Altos, CA 94022
Phone (650) 967-7834

15195 National Ave
Los Gatos, CA 95032
Phone (408) 356-0454

105 South Dr
Ste 120
Mountain View, CA 94040
Phone (650) 967-7834

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1417031832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 S KING RD",
            "address_2": "STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221811",
            "telephone_number": "408-238-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 S KING RD",
            "address_2": "STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221811",
            "telephone_number": "408-238-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILICON VALLEY EYE INSTITUTE, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "FUNG",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "Y. P.",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "650-967-7834",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Institute of Silicon Valley",
            "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 Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.