Peter W Ross OD & Larry K Wan OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PETER W ROSS OD & LARRY K WAN OD INC

Practice address

338 E Hamilton Ave
Campbell, CA 95008-0207

Phone

(408) 866-2020

Fax

(408) 370-3937

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• Family Eyecare Center Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vivian Look

  • Optometrist
  • San Jose, CA
  • NPI 1124672399
  NPD
• Arthur W Low, O.D.

  • Optometrist
  • Campbell, CA
  • NPI 1619947108
  NPD
• Lawrence K Wan, O.D.

  • Optometrist
  • Campbell, CA
  • NPI 1962471664
  NPD
• Jenna Lace McBride, OD

  • Optometrist
  • Tigard, OR
  • NPI 1952890097
  NPD

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "ZZZ22243Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ64079Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Xitlalic Perez
• Yazmani Ortega Perez
• Sara Willard Perlstein
• Pete Zavacki Chiropractic, Inc
• Peter a. Moosman, DDS a Prof. Corp
• Aliza Nisha Peter
• Peters Oak Tree Chiropractic, Inc.
• Karena Caia Petersen, MARRIAGE FAMILY THER
• Patricia Lynn Peterson, MFT
• Phuong Pham

• Optometrist in Campbell, CA
• Providers in Campbell, CA by specialty
• Optometrist in California

• 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.