DR. JEFFREY M FANELLI (NPI# 1831153881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831153881 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY M FANELLI |
| Credential | OD |
| Practice Address |
1817 Hamilton Ave San Jose CA 95725 |
| Mailing Address |
1412 Arroyo Seco Dr Campbell CA 95008 |
| Practice Telephone | 4082641555 |
| Practice Fax Number | 4082641562 |
| Mailing Telephone | 4085594517 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2011-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT 8168 TPL | CA | Eye and Vision Services Providers |
| Street Address |
1817 HAMILTON AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104880129 | Larry R Fabian | Optometrist | 1817 Hamilton Ave, San Jose, CA 95125 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457583 | Jennifer Carrillo | Behavior Technician | 1682 Virginia Ave Apt 1, San Jose, CA 95116-2944 | 2020-11-04 |
| 1346841525 | Yattsi Communications Inc. | Interpreter | 3401 Iron Point Dr Apt 196, San Jose, CA 95134-3402 | 2020-11-04 |
| 1720689268 | Elizabeth Bigelow | Behavior Technician | 5751 Via Monte Dr Apt B, San Jose, CA 95118-3271 | 2020-11-02 |
| 1285234047 | Maryann Detar | Dental Hygienist | 3154 Alum Rock Ave, San Jose, CA 95127-2903 | 2020-10-29 |
| 1558961359 | Tony Tataro | Dentist | 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 | 2020-10-29 |
| 1912507021 | Lucid Lane Providers, P.C. | Counselor | 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 | 2020-10-28 |
| 1851991202 | Judy Muriuki | Registered Nurse | 361 Daisy Dr, San Jose, CA 95123-4438 | 2020-10-27 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1417556218 | Mandy Wong | Chiropractor | 3058 Marston Way, San Jose, CA 95148-3118 | 2020-10-22 |
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| Find all providers in SAN JOSE | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639796998 | Jamie Ann Ngo | Optometrist | 1141 Di Napoli Dr, San Jose, CA 95129-4014 | 2020-07-02 |
| 1104319185 | Hien Anh Nguyen | Optometrist | 1055 E Brokaw Rd Ste 50, San Jose, CA 95131-2318 | 2018-06-13 |
| 1285121723 | Mai-anh Chtn Nguyen, O.d., Inc | Optometrist | 1661 Burdette Dr Ste H, San Jose, CA 95121-1681 | 2018-04-19 |
| 1407367923 | Justina Cho | Optometrist | 2272 Hendy Ln, San Jose, CA 95124-4415 | 2017-10-24 |
| 1326562794 | Melissa Lau | Optometrist | 1183 S De Anza Blvd Ste 50, San Jose, CA 95129-3659 | 2017-07-27 |
| 1447789623 | San Jose Eye Care Optometry Professional Corporation | Optometrist | 301 N. Jackson Ave #1, San Jose, CA 95133 | 2017-06-09 |
| 1508304080 | Anjie Angela Zheng | Optometrist | 2110 Forest Ave Ste B, San Jose, CA 95128-1469 | 2017-02-06 |
| 1427592773 | Yunwei Chang | Optometrist | 3845 Evangelho Cir, San Jose, CA 95148-4374 | 2016-12-06 |
| 1598118325 | Han Duong Optometry, Inc | Optometrist | 630 Blossom Hill Rd Ste 20, San Jose, CA 95123-3056 | 2016-07-17 |
| 1457705808 | Dzuy V Bi | Optometrist | 2670 S White Rd Ste 200, San Jose, CA 95148 | 2016-04-21 |
| Find all providers in SAN JOSE | ||||
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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.