NPIMap

Organization Active NPI

Minati Desai Acharya, O.D., Optometric Corporation

  • Optometrist
  • San Leandro, CA
National Provider Identifier
1912506155
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MINATI DESAI ACHARYA, O.D., OPTOMETRIC CORPORATION
Doing business as
Bell Vision Optometry
Practice address
117 Pelton Center Way
San Leandro, CA 94577-4815
Phone
(510) 895-2116
NPI assigned
Oct 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Minati Desai Acharya, O.D.NPI 1902323793
Title
Ceo/Optometrist
Phone
(408) 781-5716

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
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

117 Pelton Center Way
San Leandro, CA 94577-4815

Mailing address

7052 Elmsdale Dr
San Jose, CA 95120-3224

Other names 1

  • Bell Vision Optometry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL none

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1912506155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7052 ELMSDALE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951203224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 PELTON CENTER WAY",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774815",
            "telephone_number": "510-895-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINATI DESAI ACHARYA, O.D., OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "ACHARYA",
        "authorized_official_first_name": "MINATI",
        "authorized_official_middle_name": "DESAI",
        "authorized_official_title_or_position": "CEO/OPTOMETRIST",
        "authorized_official_telephone_number": "408-781-5716",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "address_1": "117 Pelton Center Way",
            "city": "San Leandro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945774815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bell Vision Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.