Organization Active NPI

Sandra J. Bozich, O.D., Inc.

  • Optometrist
  • Los Altos, CA
National Provider Identifier
1821297466
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12111T Issued in CA
Legal business name
SANDRA J. BOZICH, O.D., INC.
Practice address
215 Main St
Los Altos, CA 94022-2909
Phone
(650) 947-3937
Fax
(650) 947-3935
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Dr. Sandra J. Bozich, O.D.
Title
Owner, President, Optometrist
Phone
(650) 947-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12111T CA Primary

Addresses

Primary practice location

215 Main St
Los Altos, CA 94022-2909

Mailing address

215 Main St
Los Altos, CA 94022-2909
Phone (650) 947-3937

Other names 1

  • Eyes Optometry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1821297466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MAIN ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222909",
            "telephone_number": "650-947-3937",
            "fax_number": "650-947-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MAIN ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222909",
            "telephone_number": "650-947-3937",
            "fax_number": "650-947-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA J. BOZICH, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "BOZICH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER, PRESIDENT, OPTOMETRIST",
        "authorized_official_telephone_number": "650-947-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12111T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.