San Jose Eye Institute Medical Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A55047 Issued in CA

Legal business name

SAN JOSE EYE INSTITUTE MEDICAL CORPORATION

Practice address

123 Di Salvo Ave
Suite 20
San Jose, CA 95128-1717

Phone

(408) 279-4664

Fax

(408) 279-0464

NPI assigned

Feb 1, 2007

Last updated

Dec 17, 2019By 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

George Yang, MDNPI 1316984198

Title

President

Phone

(408) 279-4664

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• George S Yang, M.D.

  • Ophthalmology Physician
  • San Jose, CA
  • NPI 1316984198
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Decker, M.D.

  • Ophthalmology Physician
  • San Jose, CA
  • NPI 1871546010
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1922146190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 DI SALVO AVE",
            "address_2": "SUITE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281717",
            "telephone_number": "408-279-4664",
            "fax_number": "408-279-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 DI SALVO AVE",
            "address_2": "SUITE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281717",
            "telephone_number": "408-279-4664",
            "fax_number": "408-279-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE EYE INSTITUTE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-279-4664",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G112660",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A55047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CY0151",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• San Jose Dental Care
• San Jose Dental Surgery Center, Inc.
• San Jose Dentistry & Implants (S Singh DDS Inc)
• San Jose Doctors on Duty
• San Jose Eye Care Optometry Professional Corporation
• San Jose Family Health Center
• San Jose Foothill Family Community Clinic (Foothill Health Center)
• San Jose Foothill Family Community Clinic, Inc (Monterey Plaza Health Center)
• San Jose Foothill Family Community Clinic, Inc.
• San Jose Foothill Family Community Clinic, Inc. (Foothill Community Health Center)

• Ophthalmology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.