Blossom Valley Eyecare

LBN: Blossom Valley Eyecare
Blossom Valley Eyecare is an health care organization with primary practice located at 590 Blossom Hill Rd , San Jose CA 95123-3212. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Blossom Valley Eyecare can be contacted via phone (408) 227-2020, or through Hyatt, William via phone (408) 227-2020.

Contact Information

Primary practice address
590 Blossom Hill Rd San Jose CA 95123-3212
Phone: (408) 227-2020
Fax: (408) 227-2023
Website:
Map and Directions
Authorized official contact:
Name: Hyatt, William Doctor of Optometry (OD)
Phone: (408) 227-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 09532T California

Profile Details

NPI number 1104041979
LBN Legal business name Blossom Valley Eyecare
DBA Doing business as Blossom Valley Eyecare
Authorized official Hyatt, William Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104041979 NPPES
California Other 09532T OPTOMETRY LICENSE
California MEDICAID SD0095321 OPTOMETRY LICENSE

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