DR. ERIN BRETT LALLY (NPI# 1417244831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417244831 |
| Entity Type | Individual |
| Full Name | DR. ERIN BRETT LALLY |
| Credential | MD |
| Practice Address |
2110 Forest Ave Suite B San Jose CA 95128-1469 |
| Mailing Address |
430 Kingsley Ave Palo Alto CA 94301-3221 |
| Practice Telephone | 4082953433 |
| Mailing Telephone | 7249892541 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2016-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 0101259022 | VA | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | A143148 | CA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 201501277 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MT200176 | PA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790138253 | Erin Lally | Speech-Language Pathologist | 229 Stedman St, Lowell, MA 01851-2705 | 2016-07-20 |
| Street Address |
2110 FOREST AVE SUITE B |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447244785 | Terrence R Sullivan | Urology | 2110 Forest Ave, #c, San Jose, CA 95128-1469 | 2005-09-01 |
| 1932455938 | Veronica Rivera Md Inc | Obstetrics & Gynecology | 2110 Forest Ave, Suite A, San Jose, CA 95128-1469 | 2012-07-27 |
| 1922307628 | Kimberly Cheng | Optometrist | 2110 Forest Ave, Suite B, San Jose, CA 95128-1469 | 2011-03-21 |
| 1225331770 | Urological Surgeons of Northern California | Urology | 2110 Forest Ave, Suite C, San Jose, CA 95128-1469 | 2010-12-06 |
| 1851603450 | Sameen Z. Zaidi | Ophthalmology | 2110 Forest Ave, Suite B, San Jose, CA 95128-1469 | 2010-07-12 |
| 1881913960 | Assist Surgery John | Physician Assistant | 2110 Forest Ave, San Jose, CA 95128-1469 | 2010-05-27 |
| 1528145455 | Dipali V Apte | Ophthalmology | 2110 Forest Ave, San Jose, CA 95128-1469 | 2006-10-31 |
| 1386738722 | Carey Vision Medical Group, Inc. | Ophthalmology | 2110 Forest Ave, Suite B, San Jose, CA 95128-1469 | 2006-10-02 |
| 1932218740 | Bart Alan Carey | Ophthalmology | 2110 Forest Ave, Suite B, San Jose, CA 95128-1469 | 2006-08-29 |
| 1285742601 | Thomas Pan | Optometrist | 2110 Forest Ave, Suite B, San Jose, CA 95128-1469 | 2006-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548552243 | Yohko Murakami | Ophthalmology | 393 Blossom Hill Rd Ste 265, San Jose, CA 95123-1655 | 2011-05-12 |
| 1225343130 | Gloria Wu, Md A Professional Medical Corporation | Ophthalmology | 2550 Samaritan Dr Ste C, San Jose, CA 95124-4104 | 2010-08-16 |
| 1053579169 | Ho Sun Choi | Ophthalmology | 2081 Forest Ave Ste 2, San Jose, CA 95128-4841 | 2008-05-26 |
| 1497875025 | Gary Michael Kawesch | Ophthalmology | 606 Saratoga Ave, San Jose, CA 95129-2000 | 2007-03-29 |
| 1609935113 | Ngoc Nguyen | Ophthalmology | 2380 Montpelier Dr Ste 300, San Jose, CA 95116-1620 | 2006-12-08 |
| 1275616963 | Gerald Edward Hughes Jr. | Ophthalmology | 175 No. Jackson Ave, Suite 213, San Jose, CA 95116-1909 | 2006-10-24 |
| 1003922691 | Michael T Furlong | Ophthalmology | 2107 N 1st St, Suite 101, San Jose, CA 95131-2019 | 2006-08-23 |
| 1013020817 | Hamid Sajjadi | Ophthalmology | 1002 S De Anza Blvd Ste D, San Jose, CA 95129-2778 | 2006-08-16 |
| 1437178803 | Gloria Wu | Ophthalmology | 2550 Samaritan Dr., Ste C, San Jose, CA 95124 | 2006-07-18 |
| 1487684106 | South Bay Retina Inc. | Ophthalmology | 455 Oconnor Dr Ste 310, San Jose, CA 95128 | 2006-07-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.