Danville Optometric Eye Clinic

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

DANVILLE OPTOMETRIC EYE CLINIC

Doing business as

Danville Optometric Group

Practice address

3464 Camino Tassajara
Danville, CA 94506-4680

Phone

(925) 736-4911

NPI assigned

May 6, 2020

Last updated

May 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Tom, O.D.NPI 1124245568

Title

President

Phone

(510) 206-8152

Specialties & licenses 1

Addresses

Other names 1

• Danville Optometric Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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.

• Gregory L Tom, O.D.

  • Corneal and Contact Management Optometrist
  • San Ramon, CA
  • NPI 1124245568
  Medicare reassignment Care Compare group NPD Authorized official
• Peter S. Visendi, O.D.

  • Optometrist
  • Danville, CA
  • NPI 1518029693
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1750902391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 CAMINO TASSAJARA",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064680",
            "telephone_number": "925-736-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3464 CAMINO TASSAJARA",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064680",
            "telephone_number": "925-736-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE OPTOMETRIC EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-206-8152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Danville Optometric Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Racquel Marie Almendares Daliva
• Magdy Danial, MD
• Danville Dental Radiology (Steven W Lepley)
• Danville Long Term Care Inc (Danville Rehabilitation)
• Danville Neuropathy Center Inc
• Danville Optometric Group, Inc.
• Danville Pediatric Dentistry and Orthodontics
• Danville Pharmacy Inc (Danville San Ramon Pharmacy)
• Danville-San Ramon Eye Medical Corp
• Beverly Gregg Davis

• Corneal and Contact Management Optometrist in Danville, CA
• Providers in Danville, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.