Organization Active NPI

Bay View Eye Care Center, an Optometric Corp

  • Optometrist
  • Campbell, CA
National Provider Identifier
1982922118
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6892 Issued in CA
Legal business name
BAY VIEW EYE CARE CENTER, AN OPTOMETRIC CORP
Practice address
1930 S Bascom Ave Suite 210
Campbell, CA 95008
Phone
(408) 371-3623
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Dr. James Craig Dally, O.D.
Title
Ceo
Phone
(408) 371-3623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6892 CA Primary

Addresses

Primary practice location

1930 S Bascom Ave Suite 210
Campbell, CA 95008

Mailing address

6948 Bret Harte Dr
San Jose, CA 95120-3209
Phone (408) 371-3623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110404000363 CA Part B Supplier - Clinic/Group Practice 8921282799 Receives reassigned benefits from 2 practitioners
Practice locations: Campbell, CA

National Provider Directory

National Provider Directory

Locations

1930 S Bascom Ave
Ste 210
Campbell, CA 95008
Phone (408) 371-3623

Practitioners & affiliated clinicians

Practitioners 2

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": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1982922118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6948 BRET HARTE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951203209",
            "telephone_number": "408-371-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S BASCOM AVE SUITE 210",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "95008",
            "telephone_number": "408-371-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY VIEW EYE CARE CENTER, AN OPTOMETRIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "DALLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-371-3623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.