SUNRISE EYEWEAR AND OPTOMETRY, INC. (NPI# 1073907176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073907176 |
| Entity Type | Organization |
| Organization Name | SUNRISE EYEWEAR AND OPTOMETRY, INC. |
| Other Organization Name | SUNRISE OPTOMETRY |
| Practice Address |
1818 Tully Rd San Jose CA 95122-1883 |
| Mailing Address |
1818 Tully Rd 158b San Jose CA 95122-1883 |
| Practice Telephone | 4082740998 |
| Practice Fax Number | 4082742060 |
| Mailing Telephone | 4082740998 |
| Mailing Fax Number | 4082742060 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |
| Authorized Official Name | DR. TAMMY NGUYEN (OPTOMETRIST) |
| Authorized Official Telephone | 4082740998 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | OPT 11933 | CA | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Sunrise Optometry | Doing Business As Name - Organization |
| Street Address |
1818 TULLY RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95122-1883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053497172 | Tammy Nguyen | Optometrist | 1818 Tully Rd, 158b, San Jose, CA 95122-1883 | 2006-10-31 |
| 1629245014 | Henry K. Fok | Optometrist | 1818 Tully Rd, #158b, San Jose, CA 95122-1883 | 2008-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788015 | Vietnam Pharmacy Inc | Pharmacy | 2451 S King Rd Suite A1, San Jose, CA 95122 | 2020-04-06 |
| 1346894524 | Amy Le Tran | Counselor | Mekong Community Center, 2203 Tully Road, San Jose, CA 95122 | 2019-07-26 |
| 1164980439 | Tri Starr Home Care, LLC | PACE Provider Organization | 1609 Flanigan Dr., Unit H, Unit H, San Jose, CA 95122 | 2019-03-06 |
| 1740761196 | Aileen Phu | Acupuncturist | 1271 Story Rd Ste 50, San Jose, CA 95122 | 2018-08-23 |
| 1740775816 | Urgent Care Clinic of Northern Ca Inc | Clinic/Center | 999 Story Road, Suite 9021, San Jose, CA 95122 | 2018-06-29 |
| 1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
| 1497113153 | Jamealle Spain | Case Manager/Care Coordinator | 2070 Lucretia Ave #310, San Jose, CA 95122 | 2016-02-09 |
| 1770915035 | Thinh Tran | Dentist | 919 Story Rd Unit 1128, San Jose, CA 95122 | 2013-08-08 |
| 1356591333 | Asian American Recovery Services | Counselor | 1340 Tully Rd., San Jose, CA 95122 | 2008-09-25 |
| 1821246505 | Samara Rachel Stone | Marriage & Family Therapist | 1340 Tully Road, Suite 304, San Jose, CA 95122 | 2008-09-05 |
| Find all providers in zip 95122 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1235274044 | Gardner Family Health Network | Point of Service | 3030 Alum Rock Ave, San Jose, CA 95127-2807 | 2007-02-20 |
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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.