Eye Care Optometric Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

10913T Issued in CA

Legal business name

EYE CARE OPTOMETRIC CORP

Practice address

4848 San Felipe Rd
Suite 140
San Jose, CA 95135-1276

Phone

(408) 238-6661

NPI assigned

Jun 10, 2006

Last updated

Aug 22, 2020By 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

Dr. Rebecca Pham Kim, O.D.NPI 1154365146

Title

Optometrist

Phone

(408) 238-6661

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, and the practitioner matching its NPPES authorized official.

• Rebecca Pham Kim, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1154365146
  NPD (past) Authorized official
• Nancy Khuu, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1851478697
  NPD (past)
• Tammy H Tran, O.D.

  • Optometrist
  • Santa Clara, CA
  • NPI 1326117839
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982645735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 SAN FELIPE RD",
            "address_2": "SUITE 140",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351276",
            "telephone_number": "408-238-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 SAN FELIPE RD",
            "address_2": "SUITE 140",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351276",
            "telephone_number": "408-238-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE OPTOMETRIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "PHAM",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "408-238-6661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10913T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyes Love 20/20 Optometry, Inc.

• 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 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.