Organization Active NPI

Dr. Gary Gold & Associates Optometry

  • Optometrist
  • Sunnyvale, CA
National Provider Identifier
1598936585
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6234 Issued in CA
Legal business name
DR. GARY GOLD & ASSOCIATES OPTOMETRY
Practice address
130 S Sunnyvale Ave
Sunnyvale, CA 94086-6249
Phone
(408) 736-3802
Fax
(408) 736-6354
NPI assigned
Mar 18, 2008
Last updated
Apr 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Dr. Heidi QT Pham-Murphy, OD
Title
Owner
Phone
(408) 736-3802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 6234 CA Primary

Addresses

Primary practice location

130 S Sunnyvale Ave
Sunnyvale, CA 94086-6249

Mailing address

130 S Sunnyvale Ave
Sunnyvale, CA 94086-6249
Phone (408) 736-3802

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160324001637 CA Part B Supplier - Clinic/Group Practice 9537466198 Receives reassigned benefits from 14 practitioners
Practice locations: Sunnyvale, CA

National Provider Directory

National Provider Directory

Locations

130 S Sunnyvale Ave
Sunnyvale, CA 94086
Phone (408) 736-3802

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1598936585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S SUNNYVALE AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940866249",
            "telephone_number": "408-736-3802",
            "fax_number": "408-736-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S SUNNYVALE AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940866249",
            "telephone_number": "408-736-3802",
            "fax_number": "408-736-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GARY GOLD & ASSOCIATES OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "PHAM-MURPHY",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "QT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-736-3802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.