Organization Active NPI

Silicon Valley Eyecare Optometry and Contact Lenses

  • Optometrist
  • Santa Clara, CA
National Provider Identifier
1477509560
Registry record updated Nov 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
FNP 3152 Issued in CA
Legal business name
SILICON VALLEY EYECARE OPTOMETRY AND CONTACT LENSES
Practice address
770 Scott Blvd
Santa Clara, CA 95050-6927
Phone
(408) 296-0511
Fax
(408) 296-1647
NPI assigned
May 26, 2006
Last updated
Nov 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2007

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

Authorized official

Name
Deborah A McBride, O.D.NPI 1902873862
Title
Optometrist/Owner Partner
Phone
(408) 296-0511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X FNP 3152 CA Primary

Addresses

Primary practice location

770 Scott Blvd
Santa Clara, CA 95050-6927

Mailing address

770 Scott Blvd
Santa Clara, CA 95050-6927
Phone (408) 296-0511

Other identifiers 1

IdentifierTypeStateIssuer
YYY48675YMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070807000209 CA Part B Supplier - Clinic/Group Practice 4385735240 Receives reassigned benefits from 10 practitioners
Practice locations: Santa Clara, CA

National Provider Directory

National Provider Directory

Locations

770 Scott Blvd
Santa Clara, CA 95050
Phone (408) 296-0511

596 E El Camino Real
Ste 2
Sunnyvale, CA 94087
Phone (408) 245-6212

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195257600000",
    "number": "1477509560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 SCOTT BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506927",
            "telephone_number": "408-296-0511",
            "fax_number": "408-296-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 SCOTT BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506927",
            "telephone_number": "408-296-0511",
            "fax_number": "408-296-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILICON VALLEY EYECARE OPTOMETRY AND CONTACT LENSES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-11-17",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER PARTNER",
        "authorized_official_telephone_number": "408-296-0511",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "FNP 3152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YYY48675Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2007; 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.