Organization Active NPI

Peter W Ross OD & Larry K Wan OD Inc

Doing business as Family Eyecare Center

  • Optometrist
  • Campbell, CA
National Provider Identifier
1679601066
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PETER W ROSS OD & LARRY K WAN OD INC
Doing business as
Family Eyecare Center
Practice address
338 E Hamilton Ave
Campbell, CA 95008-0207
Phone
(408) 866-2020
Fax
(408) 370-3937
NPI assigned
Feb 28, 2007
Last updated
May 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
Peter Ross, O.D.
Title
Owner
Phone
(408) 866-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X CA Primary

Addresses

Primary practice location

338 E Hamilton Ave
Campbell, CA 95008-0207

Mailing address

338 E Hamilton Ave
Campbell, CA 95008-0207
Phone (408) 866-2020

Other names 1

  • Family Eyecare Center Doing business as

National Provider Directory

National Provider Directory

Locations

100 E Hamilton Ave
Ste 2
Campbell, CA 95008

3021 Meridian Ave
San Jose, CA 95124
Phone (408) 979-1928

Practitioners & affiliated clinicians

Practitioners 4

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1679601066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 E HAMILTON AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080207",
            "telephone_number": "408-866-2020",
            "fax_number": "408-370-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 E HAMILTON AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080207",
            "telephone_number": "408-866-2020",
            "fax_number": "408-370-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER W ROSS OD & LARRY K WAN OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-866-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.