NPIMap

Organization Active NPI

San Jose Refractive, LLC

  • Clinic/Center
  • San Jose, CA
National Provider Identifier
1972718294
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SAN JOSE REFRACTIVE, LLC
Practice address
2107 N 1St St
Ste. 101
San Jose, CA 95131-2019
Phone
(800) 453-5600
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brian L Andrew
Title
Secretary
Phone
(636) 534-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2107 N 1St St
Ste. 101
San Jose, CA 95131-2019

Mailing address

16305 Swingley Ridge Rd
Ste. 300
Chesterfield, MO 63017-1777
Phone (636) 534-2300

Other names 1

  • Furlong Vision Center, A TLC Associate Center Doing business as

National Provider Directory

National Provider Directory

Locations

2107 N 1st St
San Jose, CA 95131

2107 N 1st St
Ste 101
San Jose, CA 95131
Phone (408) 453-5600

Practitioners & affiliated clinicians

Practitioners 5

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972718294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16305 SWINGLEY RIDGE RD",
            "address_2": "STE. 300",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171777",
            "telephone_number": "636-534-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 N 1ST ST",
            "address_2": "STE. 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312019",
            "telephone_number": "800-453-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE REFRACTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDREW",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "636-534-2300"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Furlong Vision Center, A TLC Associate Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.