Individual provider Active NPI

Tammy Li, OD

  • Optometrist
  • San Jose, CA
National Provider Identifier
1992214449
Registry record updated Jun 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33827 Issued in CA
Practice address
2722 Aborn Rd
San Jose, CA 95121-1204
Phone
(415) 519-8288
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33827 CA Primary

Addresses

Primary practice location

2722 Aborn Rd
San Jose, CA 95121-1204

Mailing address

466 Northlake Dr Apt 1
San Jose, CA 95117-1315
Phone (415) 519-8288

Other practice location 1

369 Castro St
Mountain View, CA 94041-1205
Phone (415) 519-8288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180202001609 CA Practitioner - Optometry 4385904788 Practice locations: San Jose, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Khanh Bui, O.D., P.C. Optometrist Past Accepting new patients
DRS. Bui & Le Optometry Professional Corporation Optometrist Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Hill Physicians Care Solutions, Inc. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560643200000",
    "number": "1992214449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 NORTHLAKE DR APT 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171315",
            "telephone_number": "415-519-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 ABORN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211204",
            "telephone_number": "415-519-8288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "369 Castro St",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940411205",
            "country_code": "US",
            "telephone_number": "415-519-8288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "TAMMY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2019-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.