Jay the Eye Doctor Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JAY THE EYE DOCTOR OPTOMETRIC CORPORATION

Practice address

5411 Thornwood Dr
San Jose, CA 95123-1215

Phone

(408) 360-9412

Fax

(408) 360-9414

NPI assigned

Dec 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuel Dela Cruz II, OD

Title

Optometrist

Phone

(510) 378-8571

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546041600000",
    "number": "1619449782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43955 S MORAY ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395942",
            "telephone_number": "510-378-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 THORNWOOD DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231215",
            "telephone_number": "408-360-9412",
            "fax_number": "408-360-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY THE EYE DOCTOR OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-29",
        "last_updated": "2018-12-29",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "510-378-8571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vivek Jayaraman, DO
• Jayne Marsh LMFT
• Karli Michele Jayne
• JDD Medical Group Inc

• 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 Dec 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.