Jon G. Wada, O.D.
LBN: Jon G. Wada, O.D.
Jon G. Wada, O.D. is an health care organization with primary practice located at 2405 Forest Ave , San Jose CA 95128-1500. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Jon G. Wada, O.D. can be contacted via phone (408) 243-7916, or through Wada, Jon Gordon via phone (408) 243-7916.
Contact Information
Primary practice address
2405 Forest Ave
San Jose CA 95128-1500
Phone: (408) 243-7916
Fax: (408) 243-3525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9115 | California |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 9115 | California |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 9115 | California |
Profile Details
| NPI number | 1902967516 |
|---|---|
| LBN Legal business name | Jon G. Wada, O.D. |
| DBA Doing business as | |
| Authorized official | Wada, Jon Gordon Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | May 15th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902967516 | NPPES |
| California | MEDICAID | SD0091150 |
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