Berryessa Optometry, a Professional Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

10434T Issued in CA

Legal business name

BERRYESSA OPTOMETRY, A PROFESSIONAL CORP

Practice address

2534 Berryessa Rd
San Jose, CA 95132-2903

Phone

(408) 272-7200

Fax

(408) 272-3310

NPI assigned

Mar 10, 2006

Last updated

Jan 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas L Lim, O.D.NPI 1346218518

Title

Optometrist/Owner

Phone

(408) 272-7200

Specialties & licenses 1

Addresses

Other names 1

• Tommy L. Lim, O.D., d.b.a.Berryessa Optometry Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Thomas L Lim, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1346218518
  Medicare reassignment NPD Authorized official
• Hung D Mac, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1245208511
  Medicare reassignment NPD
• Elaine Chung, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1962432393
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1588632863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 BERRYESSA RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322903",
            "telephone_number": "408-272-7200",
            "fax_number": "408-272-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 BERRYESSA RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322903",
            "telephone_number": "408-272-7200",
            "fax_number": "408-272-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRYESSA OPTOMETRY, A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "408-272-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10434T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tommy L. Lim, O.D., d.b.a.Berryessa Optometry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Monte S Bernstein, M.D.
• Emily Viviana Berrios
• Katelyn C Berry, C-FSD
• Kobe Berry
• Matthew Luis Berry, LPCC
• Berryessa Union Elementary School District
• Patsy Berryhill
• Rosemarie Bersabe, NP
• Brian Bersbach, PHARMD
• Carl Andrew Bertelsen, MD

• Optometrist in San Jose, CA
• Providers in San Jose, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.