Organization Active NPI

Prospectacles Optometry Inc.

  • Optometrist
  • Palo Alto, CA
National Provider Identifier
1841500634
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12389TPL Issued in CA
Legal business name
PROSPECTACLES OPTOMETRY INC.
Practice address
605 Stanford Shopping Ctr
Palo Alto, CA 94304-1403
Phone
(650) 327-2840
Fax
(650) 327-2843
NPI assigned
Oct 14, 2010
Last updated
Oct 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Tuyetha Monique Mai, O.D.
Title
President
Phone
(650) 327-2840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12389TPL CA Primary

Addresses

Primary practice location

605 Stanford Shopping Ctr
Palo Alto, CA 94304-1403

Mailing address

605 Stanford Shopping Ctr
Palo Alto, CA 94304-1403
Phone (650) 327-2840

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1841500634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 STANFORD SHOPPING CTR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041403",
            "telephone_number": "650-327-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 STANFORD SHOPPING CTR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041403",
            "telephone_number": "650-327-2840",
            "fax_number": "650-327-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECTACLES OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "TUYETHA MONIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-327-2840",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12389TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.