Spectrum Eye Physicians, a Medical Corporation

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

97-675847 00004 GH Issued in CA

Legal business name

SPECTRUM EYE PHYSICIANS, A MEDICAL CORPORATION

Doing business as

Spectrum Eye Physicians

Practice address

393 Blossom Hill Rd
Suite 265
San Jose, CA 95123-1652

Phone

(408) 227-7122

Fax

(408) 227-7722

NPI assigned

Sep 25, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Michael J. Wilhelm, C.O.E.

Title

Administrator/Controller

Phone

(408) 252-7310

Specialties & licenses 2

Addresses

Other names 1

• Spectrum Eye Physicians Doing business as

Locations

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1790036101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 S DE ANZA BLVD",
            "address_2": "SUITE A",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143030",
            "telephone_number": "408-253-3083",
            "fax_number": "408-253-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 BLOSSOM HILL RD",
            "address_2": "SUITE 265",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231652",
            "telephone_number": "408-227-7122",
            "fax_number": "408-227-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM EYE PHYSICIANS, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "WILHELM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR/CONTROLLER",
        "authorized_official_telephone_number": "408-252-7310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O.E."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A24242",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "97-675847 00004 GH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Eye Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Geoffrey S Spencer, MD

• Eyewear Supplier in San Jose, CA
• Providers in San Jose, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.