Milpitas Optometric Group

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

MILPITAS OPTOMETRIC GROUP

Practice address

1301 E Calaveras Blvd
Milpitas, CA 95035-5543

Phone

(408) 263-2040

Fax

(408) 946-2020

NPI assigned

Feb 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan G Gordon, O.D.NPI 1891767604

Title

Treasuror

Phone

(408) 263-2040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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.

• Susan Grace Gordon, O.D.

  • Optometrist
  • Milpitas, CA
  • NPI 1891767604
  Medicare reassignment Care Compare group Authorized official
• Michelle Chan, OD

  • Optometrist
  • Milpitas, CA
  • NPI 1124697818
  Medicare reassignment Care Compare group NPD
• Elizabeth Gove, OD

  • Optometrist
  • Milpitas, CA
  • NPI 1316622384
  Medicare reassignment Care Compare group NPD
• Christopher John Kavanagh, O.D.

  • Optometrist
  • Milpitas, CA
  • NPI 1932179959
  Medicare reassignment Care Compare group
• Collin Kenwin Lee, O.D.

  • Optometrist
  • Milpitas, CA
  • NPI 1376975235
  Medicare reassignment Care Compare group
• Nicole Anh Pham, O. D.

  • Optometrist
  • Milpitas, CA
  • NPI 1235119108
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891839130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E CALAVERAS BLVD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355543",
            "telephone_number": "408-263-2040",
            "fax_number": "408-946-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E CALAVERAS BLVD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355543",
            "telephone_number": "408-263-2040",
            "fax_number": "408-946-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILPITAS OPTOMETRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "TREASUROR",
        "authorized_official_telephone_number": "408-263-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mia, OTR/L
• Micah M. Oller D.M.D., Inc. (Endodontics of Silicon Valley)
• Michael Vallarta Dental Corporation
• Roddy Miller, DDS
• Milpitas Family Eyecare
• Milpitas Phase I Operations, LP (Westmont of Milpitas)
• Milpitas Physical Therapy Clinic
• Milpitas Spine Center
• Milpitas Unified School District
• Ma. Isabel Lumbuan Miranda, P.T.

• Corneal and Contact Management Optometrist in Milpitas, CA
• Providers in Milpitas, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.