Provider Type Icon

MILPITAS OPTOMETRIC GROUP NPI 1891839130


NPI Information

NPI: 1891839130
Provider Name: MILPITAS OPTOMETRIC GROUP
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

CLIA Number: 05D2063708

Address:
1301 E CALAVERAS BLVD
MILPITAS, CA
ZIP 95035
Phone: (408) 263-2040
Get Directions

MILPITAS OPTOMETRIC GROUP is a corneal and contact management optometrist in Milpitas, CA. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. MILPITAS OPTOMETRIC GROUP NPI is 1891839130. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1301 E CALAVERAS BLVD
MILPITAS, CA
ZIP 95035-543
Phone: (408) 263-2040
Fax: (408) 946-2020

The provider's authorized official is Susan G Gordon .
The authorized official title is Treasuror and has the following contact phone number (408) 263-2040.

The CLIA number assigned to this NPI record is 05D2063708 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact ManagementYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.