Ideal Fortune Co. Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

D7585 Issued in CA

Legal business name

IDEAL FORTUNE CO. INC.

Practice address

1535 Landess Ave
Suite 133
Milpitas, CA 95035-8208

Phone

(408) 934-9117

NPI assigned

Jun 9, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Carlos Go

Title

Owner

Phone

(909) 525-9500

Specialties & licenses 2

Addresses

Other names 1

• Ideal Vision Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1861787624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 LANDESS AVE",
            "address_2": "SUITE 133",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358208",
            "telephone_number": "408-934-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 LANDESS AVE",
            "address_2": "SUITE 133",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358208",
            "telephone_number": "408-934-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL FORTUNE CO. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "GO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-525-9500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "CA",
            "license": "D7585",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "D7585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Milpitas, CA
• Providers in Milpitas, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.