Iconic Eyes Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

14223 Issued in CA

Legal business name

ICONIC EYES OPTOMETRY

Practice address

1055 E Brokaw Rd
#50
San Jose, CA 95131-2318

Phone

(408) 887-4993

NPI assigned

Sep 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Christine N Ngo, O.D.

Title

Optometrist

Phone

(408) 887-4993

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1962839670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 E BROKAW RD",
            "address_2": "#50",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312318",
            "telephone_number": "408-887-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 E BROKAW RD",
            "address_2": "#50",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312318",
            "telephone_number": "408-887-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICONIC EYES OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "408-887-4993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14223",
            "primary": true
        },
        {
            "code": "156FX1201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optometric Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Said M Ibrahimi, MD
• Icare Dental Group, Inc
• Icare Pharmacy Inc
• David M. Ichimura, D.D.S.
• Michael Ichinaga, PH.D.
• Mary R. Idso, MD
• Ramya Idury
• Heather Ariagno Iezza, MD
• Remsha Iftikhar
• Shelley Mae Iglesias

• Optometrist in San Jose, CA
• Providers in San Jose, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.