Organization Active NPI

Visual Eyes Optometry Inc

  • Vision Therapy Optometrist
  • Pleasanton, CA
National Provider Identifier
1649694571
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OPT9880 Issued in CA
Legal business name
VISUAL EYES OPTOMETRY INC
Practice address
4555 Hopyard Rd Ste C-19
Pleasanton, CA 94588-2771
Phone
(925) 463-7330
Fax
(925) 463-7337
NPI assigned
Feb 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Authorized official

Name
Dr. Susan Hyun Joo Kim- Laubach, O.D.
Title
Owner
Phone
(925) 463-7330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X OPT9720 CA
Vision Therapy OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WV0400X OPT9880 CA Primary

Addresses

Primary practice location

4555 Hopyard Rd Ste C-19
Pleasanton, CA 94588-2771

Mailing address

4555 Hopyard Rd Ste C-19
Pleasanton, CA 94588-2771
Phone (925) 463-7330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1649694571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 HOPYARD RD STE C-19",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882771",
            "telephone_number": "925-463-7330",
            "fax_number": "925-463-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 HOPYARD RD STE C-19",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882771",
            "telephone_number": "925-463-7330",
            "fax_number": "925-463-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISUAL EYES OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "KIM- LAUBACH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "HYUN JOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-463-7330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "OPT9720",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "OPT9880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.