Active NPI
Sandra J. Bozich, O.D., Inc.
- Optometrist
- Los Altos, CA
National Provider Identifier
1821297466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12111T
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Los Altos, CA
- NPI 1932324670
-
- Optometrist
- Carson City, NV
- NPI 1164402608
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.