20 20 Optometry of Silicon Valley
Organization Active NPI Optometrist · San Jose, CA
NPI 1841404662 · NPPES record last updated Jul 19, 2014
Key facts
- NPI
- 1841404662
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 10538 (CA)
- Legal business name
- 20 20 OPTOMETRY OF SILICON VALLEY
- Practice address
- 2555 N 1St St
San Jose, CA 95131-1003 - Phone
- (408) 433-0800
- Fax
- (408) 577-0849
- NPI assigned
- May 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Jeanette Lee, O.D.
- Title
- President
- Phone
- (408) 433-0800
Practitioners 7
-
Thy Dinh, OD
-
Jeanette Lee, O.D.
-
Linda Wong, OD
-
Joseph Cheng, O.D.
-
Tiffany Le, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090914000019 | CA | Part B Supplier - Clinic/Group Practice | 2365598570 |
Receives reassigned benefits from 5 practitioners Practice locations: San Jose, CA |
National Provider Directory
Locations
2555 N 1st St
San Jose, CA 95131
Phone (408) 433-0800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 10538 | CA | Yes |
Addresses
Primary practice location
2555 N 1St St
San Jose, CA 95131-1003
Mailing address
2555 N 1St St
San Jose, CA 95131-1003
Phone (408) 433-0800
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.