Organization Active NPI

JC Optics LLC

  • Eyewear Supplier
  • Dublin, CA
National Provider Identifier
1730503293
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
D7560 Issued in CA
Legal business name
JC OPTICS LLC
Doing business as
Site For Sore Eyes
Practice address
4540 Dublin Blvd
Dublin, CA 94568-7564
Phone
(925) 833-3937
Fax
(925) 833-3985
NPI assigned
Feb 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Hani Elmankabadi
Title
Owner
Phone
(925) 963-6945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X D7560 CA Primary

Addresses

Primary practice location

4540 Dublin Blvd
Dublin, CA 94568-7564

Mailing address

4540 Dublin Blvd
Dublin, CA 94568-7564
Phone (925) 833-3937

Other identifiers 7

IdentifierTypeStateIssuer
FAC 69724OtherSAFE GUARD VISION
A04090OtherCAEYEMED
64691OtherSPECTERA
830998OtherNATIONAL VISION ADMINISTRATION
8499OtherCAVISION SERVICE PLAN,
03437SOtherDAVIS VISION
9258333937OtherMARCH VISION

Other names 1

  • Site For Sore Eyes Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1730503293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 DUBLIN BLVD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687564",
            "telephone_number": "925-833-3937",
            "fax_number": "925-833-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 DUBLIN BLVD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687564",
            "telephone_number": "925-833-3937",
            "fax_number": "925-833-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC OPTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "ELMANKABADI",
        "authorized_official_first_name": "HANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-963-6945"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "D7560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFE GUARD VISION",
            "identifier": "FAC 69724",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "A04090",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "64691",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMINISTRATION",
            "identifier": "830998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN,",
            "identifier": "8499",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "03437S",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARCH VISION",
            "identifier": "9258333937",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Site For Sore Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.