Individual provider Active NPI

James Kim-Tzong Eu, O.D

  • Optometrist
  • San Jose, CA
National Provider Identifier
1881729663
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT6647TPA Issued in CA
Practice address
1937 Tully Rd Ste a
San Jose, CA 95122-1934
Phone
(408) 923-0400
Fax
(408) 923-3303
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT6647TPA CA Primary

Addresses

Primary practice location

1937 Tully Rd Ste a
San Jose, CA 95122-1934

Mailing address

1937 Tully Rd Ste a
San Jose, CA 95122-1934
Phone (408) 923-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425000492 CA Practitioner - Optometry 7315985850 Practice locations: San Jose, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6647CAMDAddiction (Substance Use Disorder) Counselor
OPT6647TPACAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James N. Eustermann, M.D., Inc. PastSince Oct 3, 2019 Accepting new patients
Vision First Eye Care Optometrist PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881729663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 TULLY RD STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221934",
            "telephone_number": "408-923-0400",
            "fax_number": "408-923-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 TULLY RD STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221934",
            "telephone_number": "408-923-0400",
            "fax_number": "408-923-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EU",
        "first_name": "JAMES",
        "middle_name": "KIM-TZONG",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6647TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.