SPECTRUM EYE PHYSICIANS, A MEDICAL CORPORATION (NPI# 1487601522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487601522 |
| Entity Type | Organization |
| Organization Name | SPECTRUM EYE PHYSICIANS, A MEDICAL CORPORATION |
| Practice Address |
10300 S De Anza Blvd Suite A Cupertino CA 95014-3030 |
| Practice Telephone | 4082533083 |
| Practice Fax Number | 4082532965 |
| Mailing Telephone | 4082533083 |
| Mailing Fax Number | 4082532965 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2016-02-02 |
| Authorized Official Name | MR. JOEL WILHELM (ADMINISTRATOR/CONTROLLER) |
| Authorized Official Telephone | 4082527310 |
| Authorized Official Credential | COE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OPT 13831 TLG | CA | Eye and Vision Services Providers |
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | SRYGH 97-6758470 | CA | Suppliers |
| Y | 207W00000X | Ophthalmology | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0103603 | 05 | |
| CA | GR0103602 | 05 | |
| CA | GR0103601 | 05 | |
| CA | GR0103600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790036101 | Spectrum Eye Physicians, A Medical Corporation | Ophthalmology | 393 Blossom Hill Rd, Suite 265, San Jose, CA 95123-1652 | 2012-09-25 |
| 1376894782 | Spectrum Eye Physicians, A Medical Corporation | Optometrist | 431 Monterey Ave, Suite 3, Los Gatos, CA 95030-5319 | 2012-09-25 |
| 1891046298 | Spectrum Eye Physicians, A Medical Corporation | Optometrist | 2577 Samaritan Dr, Suite 740, San Jose, CA 95124-4100 | 2012-09-25 |
| Street Address |
10300 S DE ANZA BLVD SUITE A |
| City | CUPERTINO |
| State | CA |
| Zip Code | 95014-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922269083 | Tarek El-sawy | Ophthalmology | 10300 S De Anza Blvd, Cupertino, CA 95014-3030 | 2008-06-21 |
| 1609819614 | Sonya Minha Park | Optometrist | 10300 S De Anza Blvd, Cupertino, CA 95014-3030 | 2006-06-14 |
| 1831139997 | James C Liu | Ophthalmology | 10300 S De Anza Blvd, Cupertino, CA 95014-3030 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508343500 | Voong Chuang LLC | Podiatrist | 1030 Pennington Ln, Cupertino, CA 95014 | 2018-07-23 |
| 1083114748 | Michelle T Vo | Social Worker | 19000 Homestead Rd Fl 2, Cupertino, CA 95014 | 2018-02-19 |
| 1437686797 | Yi Shou Chang | Acupuncturist | 20600 Mariani Ave Ste D, Cupertino, CA 95014 | 2017-05-17 |
| 1023553732 | Crossover Health Medical Group | Specialist | 19500 E. Homestead Rd., Cupertino, CA 95014 | 2017-01-04 |
| 1831649359 | Victoria Cheong | Occupational Therapist | 10050 N. Wolfe Road, Sw1-190, Cupertino, CA 95014 | 2016-10-07 |
| 1437532678 | Venus Tsai | Optometrist | 10123 North Wolfe Road, Cupertino, CA 95014 | 2015-07-07 |
| 1356731608 | Man-pik Lo, D.d.s., Inc. | Dentist | 20395 Pacifica Drive, Ste. 110, Cupertino, CA 95014 | 2015-01-26 |
| 1760826101 | Seiyu Kageyama | Acupuncturist | 10835 N. Wolfe Road., Cupertino, CA 95014 | 2013-04-27 |
| 1699043802 | Lisa Marie-mone Fourkas | Physical Therapist | 1601 South Deanza Blvd, Suite 111, Cupertino, CA 95014 | 2011-12-02 |
| 1508141193 | Kuo-jui Huang | Acupuncturist | 10325 S. Tantau Ave., Cupertino, CA 95014 | 2011-10-15 |
| Find all providers in zip 95014 | ||||
| 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 |
|---|---|---|---|---|
| 1912043605 | Cockerham Eye Consultants, Inc | Ophthalmology | 10050 Bubb Rd, Ste 2, Cupertino, CA 95014-4160 | 2007-01-29 |
| 1841208352 | Huan Ngoc Phan | Ophthalmology | 20269 Stevens Creek Blvd, Cupertino, CA 95014-2258 | 2006-08-03 |
| 1922269083 | Tarek El-sawy | Ophthalmology | 10300 S De Anza Blvd, Cupertino, CA 95014-3030 | 2008-06-21 |
| 1831139997 | James C Liu | Ophthalmology | 10300 S De Anza Blvd, Cupertino, CA 95014-3030 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790922 | Paul B Kouyoumjian, Md Inc. | Ophthalmology | 18040 Sherman Way Ste 205, Reseda, CA 91335-4631 | 2020-11-04 |
| 1700496320 | William Thomas Parker | Ophthalmology | 5279 Gaylord Pl, San Diego, CA 92117-1034 | 2020-08-07 |
| 1588274724 | Katerina Kurteeva Md Inc | Ophthalmology | 3140 Bear St Ste 100, Costa Mesa, CA 92626-2964 | 2020-08-03 |
| 1285252502 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 58-471 29 Palms Hwy, Yucca Valley, CA 92284-5818 | 2020-07-13 |
| 1407473754 | Janet K. Kim Md, Inc | Ophthalmology | 903 Crenshaw Blvd Ste 105, Los Angeles, CA 90019-1972 | 2020-07-02 |
| 1699392506 | Desert Ophthalmology Medical Corporation | Ophthalmology | 72650 Fred Waring Dr Ste 109, Palm Desert, CA 92260-5008 | 2020-06-26 |
| 1942821566 | Simon Eyes, Inc. | Ophthalmology | 3260 Beard Rd Ste 5, Napa, CA 94558-3466 | 2020-05-05 |
| 1942821905 | Nathan Abraham Md Vision Professionals Inc | Ophthalmology | 24305 Town Center Dr Ste 160, Valencia, CA 91355-1347 | 2020-04-30 |
| 1720609878 | Don Saul Ellis | Ophthalmology | 343 11th St, Del Mar, CA 92014-2607 | 2020-04-29 |
| 1245851534 | Santa Barbara Eyecare Inc., A Professional Medical Corporation | Ophthalmology | 2946 De La Vina St, Santa Barbara, CA 93105-3310 | 2020-04-28 |
| Find all providers with the same taxonomy | ||||
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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.