Active NPI
Elysia Ison, OD
- Optometrist
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34112TLG
- Practice address
- 1066 S White Rd Ste 170
San Jose, CA 95127-3812 - Phone
- (408) 729-9700
- NPI assigned
- May 31, 2018
- Last updated
- Sep 14, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 34112TLG | CA | Primary |
| Optometrist | 152W00000X | OPT.0003406 | CO |
Addresses
Primary practice location
1066 S White Rd Ste 170
San Jose, CA 95127-3812
Mailing address
40910 Fremont Blvd
Fremont, CA 94538-4375
Phone (510) 770-8040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT.0003406 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary O. Lai, O.D. and Sharon K. Ho, O.D., Professional Corporation | Single Specialty | Current | Accepting new patients |
| DHHS, PHS, Naihs, Shiprock Hospital | Single Specialty | Current | Accepting new patients |
| DHHS, PHS, Naihs, Shiprock Hospital | Single Specialty | Current | Accepting new patients |
| Bay Area Community Health | Past | Accepting new patients |
Locations
214 S B St
San Mateo, CA 94401
Phone (605) 343-2080
Organizations & group practices 6
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.
-
dba Eyeworks of San Mateo
- Corneal and Contact Management Optometrist
- San Mateo, CA
- NPI 1033463302
Single Specialty
-
dba Northern Navajo Medical Center
- General Acute Care Hospital
- Shiprock, NM
- NPI 1780639971
Single Specialty, TX
-
dba BACH School Mobile Health Clinic II
- Federally Qualified Health Center (FQHC)
- Fremont, CA
- NPI 1780054379
-
- Optometrist
- Los Gatos, CA
- NPI 1962474221
-
- General Acute Care Hospital
- Teec Nos Pos, AZ
- NPI 1477615789
Single Specialty
-
dba Bay Area Community Health - Hope Project
- Federally Qualified Health Center (FQHC)
- Fremont, CA
- NPI 1942387188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1467944041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40910 FREMONT BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945384375",
"telephone_number": "510-770-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1066 S WHITE RD STE 170",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951273812",
"telephone_number": "408-729-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISON",
"first_name": "ELYSIA",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-31",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34112TLG",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "OPT.0003406",
"primary": false
}
],
"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 Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.