NPIMap

Organization Active NPI

Spectrum Eye Physicians, a Medical Corporation

Doing business as Spectrum Eye Physicians

  • Eyewear Supplier
  • San Jose, CA
National Provider Identifier
1891046298
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
97-675847 00003 GH Issued in CA
Legal business name
SPECTRUM EYE PHYSICIANS, A MEDICAL CORPORATION
Doing business as
Spectrum Eye Physicians
Practice address
2577 Samaritan Dr
Suite 740
San Jose, CA 95124-4100
Phone
(408) 358-2029
Fax
(408) 356-5873
NPI assigned
Sep 25, 2012
Last updated
Sep 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Mr. Michael J Wilhelm, C.O.E.
Title
Administrator/Controller
Phone
(408) 252-7310

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 97-675847 00003 GH CA Primary
Optometrist 152W00000X OPT 10791 TPA CA
Ophthalmology Physician 207W00000X A37122 CA
Ophthalmology Physician 207W00000X A47984 CA

Addresses

Primary practice location

2577 Samaritan Dr
Suite 740
San Jose, CA 95124-4100

Mailing address

10300 S de Anza Blvd
Suite a
Cupertino, CA 95014-3030
Phone (408) 253-3083

Other names 1

  • Spectrum Eye Physicians Doing business as

National Provider Directory

National Provider Directory

Locations

930 Sunnyslope Rd
Ste E
Hollister, CA 95023
Phone (831) 637-0705

2100 Forest Ave
Ste 108
San Jose, CA 95128
Phone (408) 240-2614

5150 Graves Ave
Ste 1
San Jose, CA 95129
Phone (310) 686-1171

1663 Dominican Way
Ste 212
Santa Cruz, CA 95065
Phone (831) 226-2636

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1891046298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 S DE ANZA BLVD",
            "address_2": "SUITE A",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143030",
            "telephone_number": "408-253-3083",
            "fax_number": "408-253-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 SAMARITAN DR",
            "address_2": "SUITE 740",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244100",
            "telephone_number": "408-358-2029",
            "fax_number": "408-356-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM EYE PHYSICIANS, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "WILHELM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR/CONTROLLER",
        "authorized_official_telephone_number": "408-252-7310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O.E."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "97-675847 00003 GH",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 10791 TPA",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A37122",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A47984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Eye Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 25, 2012; 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.