Organization Active NPI

Trainor & Ngan Professional Optometric Corporation

Doing business as VisualEyes Optometry

  • Optometrist
  • San Jose, CA
National Provider Identifier
1770557019
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TRAINOR & NGAN PROFESSIONAL OPTOMETRIC CORPORATION
Doing business as
VisualEyes Optometry
Practice address
1172 Lincoln Ave
San Jose, CA 95125
Phone
(408) 283-7100
Fax
(408) 283-7103
NPI assigned
Feb 14, 2006
Last updated
Mar 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Dr. Julie G Ngan, OD
Title
Co Owner
Phone
(408) 283-7100

Specialties & licenses 1

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

Addresses

Primary practice location

1172 Lincoln Ave
San Jose, CA 95125

Mailing address

1172 Lincoln Ave
San Jose, CA 95125
Phone (408) 283-7100

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ05960ZOtherCAGROUP PTAN

Other names 1

  • VisualEyes Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071217000408 CA Part B Supplier - Clinic/Group Practice 0042300808 Receives reassigned benefits from 3 practitioners
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

1172 Lincoln Ave
San Jose, CA 95125
Phone (408) 283-7100

Practitioners & affiliated clinicians

Practitioners 3

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": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1770557019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 LINCOLN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95125",
            "telephone_number": "408-283-7100",
            "fax_number": "408-283-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 LINCOLN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95125",
            "telephone_number": "408-283-7100",
            "fax_number": "408-283-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAINOR & NGAN PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "NGAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "408-283-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "ZZZ05960Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VisualEyes Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VisualEyes Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.