NPIMap

Organization Active NPI

20 20 Optometry of Silicon Valley

  • Optometrist
  • San Jose, CA
National Provider Identifier
1841404662
Registry record updated Jul 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10538 Issued in 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
Last updated
Jul 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2014

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

Authorized official

Name
Dr. Jeanette Lee, O.D.NPI 1629090048
Title
President
Phone
(408) 433-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 10538 CA Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090914000019 CA Part B Supplier - Clinic/Group Practice 2365598570 Receives reassigned benefits from 5 practitioners
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

2555 N 1st St
San Jose, CA 95131
Phone (408) 433-0800

Practitioners & affiliated clinicians

Practitioners 7

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405728000000",
    "number": "1841404662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 N 1ST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311003",
            "telephone_number": "408-433-0800",
            "fax_number": "408-577-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 N 1ST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311003",
            "telephone_number": "408-433-0800",
            "fax_number": "408-577-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20 20 OPTOMETRY OF SILICON VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2014-07-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-433-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 19, 2014; 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.