| NPI | 1366739195 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2011-06-30 |
| Last Updated | 2018-12-31 |
| Authorized Official | Phuong Pham President Phone: 4088074344 |
| Mailing Address | 173 N Morrison Ave Ste B San Jose, CA 95126-2712 United States Phone: (408) 372-7647 | Fax: (408) 598-3332 📍 View Map |
| Primary Practice Address | 173 N Morrison Ave, Ste. E San Jose, CA 95126-2712 United States Phone: (408) 372-7647 | Fax: (408) 598-3332 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 152W00000X – Optometrist | CA | 13778 |
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About NPI 1366739195
Crest Optometry, Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1366739195. The primary specialty listed is Optometrist. The organization is located in San Jose, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-06-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1366739195?
NPI 1366739195 belongs to Crest Optometry, Inc, a Optometrist in San Jose, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1366739195 active?
The current status of NPI 1366739195 in the NPPES registry is Active. The record was last updated on 2018-12-31.
What specialty is NPI 1366739195?
NPI 1366739195 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1366739195?
You can verify NPI 1366739195 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1366739195?
The primary practice address on file for NPI 1366739195 is 173 N Morrison Ave, San Jose, CA 95126-2712. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1366739195 issued?
NPI 1366739195 was first issued (enumerated) on 2011-06-30. The NPPES record was last updated on 2018-12-31.
Practice Location Map
Crest Optometry, Inc is located at 173 N Morrison Ave, San Jose, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Crest Optometry, Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1366739195. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Optometrist | 13778 | CA |