Organization Active NPI

Eye Lite Optometry, Inc.

  • Optometrist
  • Los Altos, CA
National Provider Identifier
1851827794
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10635TLG Issued in CA
Legal business name
EYE LITE OPTOMETRY, INC.
Practice address
286 State St
Los Altos, CA 94022-2813
Phone
(650) 948-6910
Fax
(650) 948-8645
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dr. Jabina Ramde, O.D.NPI 1679684047
Title
Optometrist
Phone
(650) 948-6910

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 10635TLG CA Primary

Addresses

Primary practice location

286 State St
Los Altos, CA 94022-2813

Mailing address

286 State St
Los Altos, CA 94022-2813
Phone (650) 948-6910

Other identifiers 3

IdentifierTypeStateIssuer
1346795820OtherCANPI
1679684047OtherCANPI
1730244682OtherCANPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171016003350 CA Part B Supplier - Clinic/Group Practice 1850664871 Receives reassigned benefits from 5 practitioners
Practice locations: Los Altos, CA

National Provider Directory

National Provider Directory

Locations

286 State St
Los Altos, CA 94022
Phone (650) 948-6910

Practitioners & affiliated clinicians

Practitioners 5

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": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1851827794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 STATE ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222813",
            "telephone_number": "650-948-6910",
            "fax_number": "650-948-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 STATE ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222813",
            "telephone_number": "650-948-6910",
            "fax_number": "650-948-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE LITE OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "RAMDE",
        "authorized_official_first_name": "JABINA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "650-948-6910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10635TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346795820",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679684047",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730244682",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 11, 2017; 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.