Organization Active NPI

Han Duong Optometry, Inc

Doing business as ClearSight Optometry

  • Optometrist
  • San Jose, CA
National Provider Identifier
1598118325
Registry record updated Jul 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14163 TLG Issued in CA
Legal business name
HAN DUONG OPTOMETRY, INC
Doing business as
ClearSight Optometry
Practice address
630 Blossom Hill Rd Ste 20
San Jose, CA 95123-3056
Phone
(408) 300-0717
NPI assigned
Jul 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2016

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

Authorized official

Name
Dr. Han Duong, ODNPI 1437446036
Title
Ceo/Owner
Phone
(408) 300-0717

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 14163 TLG CA Primary

Addresses

Primary practice location

630 Blossom Hill Rd Ste 20
San Jose, CA 95123-3056

Mailing address

630 Blossom Hill Rd Ste 20
San Jose, CA 95123-3056

Other names 1

  • ClearSight Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161005002823 CA Part B Supplier - Clinic/Group Practice 2062700123 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

630 Blossom Hill Rd
Ste 20
San Jose, CA 95123
Phone (408) 300-0717

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1468713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468713600000",
    "number": "1598118325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 BLOSSOM HILL RD STE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BLOSSOM HILL RD STE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233056",
            "telephone_number": "408-300-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAN DUONG OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-17",
        "last_updated": "2016-07-17",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "HAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "408-300-0717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14163 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ClearSight Optometry",
            "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 17, 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.