Modern Eyes Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MODERN EYES OPTOMETRY, INC.

Practice address

63 W Angela St
Pleasanton, CA 94566-7328

Phone

(925) 456-4393

NPI assigned

May 27, 2010

Organization subpart

No

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

Authorized official

Name

Jack Son Kim, O.D.

Title

President

Phone

(562) 809-2020

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Radbert Chin, O.D.

  • Optometrist
  • Pleasanton, CA
  • NPI 1306078704
  NPD
• Thuy Le

  • Optometrist
  • Pleasanton, CA
  • NPI 1497321384
  NPD
• Jill Chen, O.D.

  • Optometrist
  • Cerritos, CA
  • NPI 1659683340
  NPD (past)

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1902125180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 W ANGELA ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667328",
            "telephone_number": "925-456-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 W ANGELA ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667328",
            "telephone_number": "925-456-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN EYES OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "SON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-809-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geralyn Mitchell
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• Amennah S. Moghaddam, NP
• Dhilip Mohanan
• Adeena Mohtashim
• Ali Reza Mojab, DDS
• Elizabeth Mole, DNP, PMHNP

• Optometrist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.