POLARIS EYE & LASER, A MEDICAL CORPORATION (NPI# 1538259049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538259049 |
| Entity Type | Organization |
| Organization Name | POLARIS EYE & LASER, A MEDICAL CORPORATION |
| Other Organization Name | POLARIS EYE & LASER, INC. |
| Practice Address |
2505 Samaritan Dr Suite 310 San Jose CA 95124-4006 |
| Practice Telephone | 4083583932 |
| Practice Fax Number | 4083583935 |
| Mailing Telephone | 4083583932 |
| Mailing Fax Number | 4083583935 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-11-13 |
| Authorized Official Name | DR. JEEHEE KIM (PRESIDENT) |
| Authorized Official Telephone | 4083583932 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
G84931 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Polaris Eye & Laser, Inc. | Doing Business As Name - Organization |
| Street Address |
2505 SAMARITAN DR SUITE 310 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174303 | Spero Christi Horine | Podiatrist | 2505 Samaritan Dr, Ste 509, San Jose, CA 95124-4015 | 2005-06-17 |
| 1063968568 | Kyu Chong Han | Acupuncturist | 2505 Samaritan Dr, Unit 305, San Jose, CA 95124-4006 | 2016-08-25 |
| 1396116679 | Samaritan Apothecary Pharmacy Inc. | Pharmacy | 2505 Samaritan Dr, Suite 300, San Jose, CA 95124-4006 | 2015-10-13 |
| 1437555836 | Omid H. Javadi PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2505 Samaritan Dr, Ste 503, San Jose, CA 95124-4006 | 2014-11-12 |
| 1942547732 | Benjamin Truong Le | Physician Assistant | 2505 Samaritan Dr, San Jose, CA 95124-4006 | 2013-01-14 |
| 1689937344 | Ernesto Martin Gonzalez | Pediatrics | 2505 Samaritan Dr, San Jose, CA 95124-4006 | 2012-06-19 |
| 1033482351 | Steven M. Tilles, M.d., Inc. | Internal Medicine | 2505 Samaritan Dr, 405, San Jose, CA 95124-4006 | 2012-02-16 |
| 1770886210 | Urological Surgeons of Northern California | Urology | 2505 Samaritan Dr, Suite 201, San Jose, CA 95124-4006 | 2010-12-06 |
| 1104139898 | South Bay Ophthalmology Inc | Ophthalmology | 2505 Samaritan Dr, Suite 408, San Jose, CA 95124-4006 | 2010-07-22 |
| 1346563939 | Patel Family Practice, Inc | Family Medicine | 2505 Samaritan Dr, Suite 505, San Jose, CA 95124-4006 | 2010-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942523139 | Advanced Laser Center | Clinic/Center | 350 S Winchester Blvd, Suite 250, San Jose, CA 95128-2092 | 2010-03-02 |
| 1518303700 | Medoc Investments, Inc | Clinic/Center | 2577 Samaritan Dr, Suite 732, San Jose, CA 95124-4100 | 2013-05-15 |
| 1821181488 | Advanced Surgery Medical Center, LLC | Clinic/Center | 989 Story Rd, 8066, San Jose, CA 95122-4603 | 2006-10-02 |
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|---|---|---|---|---|
| 1306478672 | Lancaster Surgery Center LLC | Clinic/Center | 1741 W Avenue J, Lancaster, CA 93534-2703 | 2020-02-05 |
| 1588203988 | High Desert Eye Medical Group, Inc | Clinic/Center | 16030 Kamana Road, Apple Valley, CA 92307-9230 | 2020-01-02 |
| 1194243394 | Jon L Siems Md Inc | Clinic/Center | 31515 Rancho Pueblo Rd Ste 103, Temecula, CA 92592-4837 | 2017-09-07 |
| 1568918449 | The Cataract Vision Institute LLC | Clinic/Center | 3998 Inland Empire Blvd, Ontario, CA 91764-5032 | 2016-08-30 |
| 1417345885 | The Lasik Vision Institute | Clinic/Center | 7088 N Maple Ave, Suite 105, Fresno, CA 93720-0101 | 2015-01-07 |
| 1437565298 | Dr. Barbara S. Yates, Inc. | Clinic/Center | 4804 Laurel Canyon Blvd # 1200, Valley Village, CA 91607-3717 | 2014-07-01 |
| 1770865735 | Vision Institute of Southern California A Professional Medical Corpora | Clinic/Center | 18725 Gale Ave Ste 140, City of Industry, CA 91748-1358 | 2011-09-15 |
| 1548583255 | Gold Coast Vision LLC | Clinic/Center | 461 W 5th St, Oxnard, CA 93030-7049 | 2010-03-09 |
| 1447485156 | Humboldt Physicians Surgery and Laser Center LLC | Clinic/Center | 3226 Timber Fall Court, Eureka, CA 95503-4888 | 2009-05-26 |
| 1073709598 | Regg V. Antle, M. D. | Clinic/Center | 2023 W Vista Way Ste F, Vista, CA 92083-6030 | 2007-09-18 |
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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.