NPIMap

Organization Active NPI

Furlong Vision Correction Medical Center Inc

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1871788943
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G84894 Issued in CA
Legal business name
FURLONG VISION CORRECTION MEDICAL CENTER INC
Practice address
2107 N 1St St
Suite 101
San Jose, CA 95131-2019
Phone
(408) 453-5600
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Dr. Michael T Furlong, M.D.NPI 1003922691
Title
President
Phone
(408) 453-5600

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G84894 CA Primary

Addresses

Primary practice location

2107 N 1St St
Suite 101
San Jose, CA 95131-2019

Mailing address

2107 N 1St St
Suite 101
San Jose, CA 95131-2019

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080424000815 CA Part B Supplier - Clinic/Group Practice 8729166186 Receives reassigned benefits from 6 practitioners
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1871788943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 N 1ST ST",
            "address_2": "SUITE 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 N 1ST ST",
            "address_2": "SUITE 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312019",
            "telephone_number": "408-453-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FURLONG VISION CORRECTION MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "FURLONG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-453-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G84894",
            "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 30, 2013; 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.