JEANIE PAIK (NPI# 1912268129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912268129 |
| Entity Type | Individual |
| Full Name | JEANIE PAIK |
| Credential | M.D. |
| Practice Address |
220 Meridian Ave San Jose CA 95126-2998 |
| Practice Telephone | 4088693403 |
| Practice Fax Number | 4088693459 |
| Mailing Telephone | 4088693403 |
| Mailing Fax Number | 4088693459 |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 271152 | NY | Allopathic & Osteopathic Physicians |
| N | 207WX0120X |
Ophthalmology Specialization: Cornea and External Diseases Specialist |
A168810 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2015 N Main St, Wheaton, IL 601873152 | 6306688250 |
| Street Address |
220 MERIDIAN AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-2998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891796629 | Christina Nguyen Deane | Optometrist | 220 Meridian Ave, San Jose, CA 95126-2903 | 2005-08-02 |
| 1861915142 | Bdhv Medical Group of California, PC | Eyewear Supplier (Equipment, not the service) | 220 Meridian Ave, San Jose, CA 95126-2903 | 2017-07-19 |
| 1598288078 | Bdhv Medical Group of California, PC | Ophthalmology | 220 Meridian Ave, San Jose, CA 95126-2903 | 2017-07-17 |
| 1407274913 | Tamer M Hadi | Ophthalmology | 220 Meridian Ave, San Jose, CA 95126-2998 | 2014-04-01 |
| 1497077119 | Eye Medical Clinic of Santa Clara Valley | Ophthalmology | 220 Meridian Ave, San Jose, CA 95126-2903 | 2010-02-22 |
| 1659693448 | Robert J Masi Md Professional Corporation | Ophthalmology | 220 Meridian Ave, San Jose, CA 95126-2903 | 2010-02-19 |
| 1225256977 | Eye Medical Clinic of Santa Clara Valley | Eyewear Supplier (Equipment, not the service) | 220 Meridian Ave, San Jose, CA 95126-2903 | 2007-04-20 |
| 1285605303 | John Sullivan | Ophthalmology | 220 Meridian Ave, San Jose, CA 95126-2903 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
| Find all providers in zip 95126 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548552243 | Yohko Murakami | Ophthalmology | 393 Blossom Hill Rd Ste 265, San Jose, CA 95123-1655 | 2011-05-12 |
| 1225343130 | Gloria Wu, Md A Professional Medical Corporation | Ophthalmology | 2550 Samaritan Dr Ste C, San Jose, CA 95124-4104 | 2010-08-16 |
| 1053579169 | Ho Sun Choi | Ophthalmology | 2081 Forest Ave Ste 2, San Jose, CA 95128-4841 | 2008-05-26 |
| 1497875025 | Gary Michael Kawesch | Ophthalmology | 606 Saratoga Ave, San Jose, CA 95129-2000 | 2007-03-29 |
| 1609935113 | Ngoc Nguyen | Ophthalmology | 2380 Montpelier Dr Ste 300, San Jose, CA 95116-1620 | 2006-12-08 |
| 1275616963 | Gerald Edward Hughes Jr. | Ophthalmology | 175 No. Jackson Ave, Suite 213, San Jose, CA 95116-1909 | 2006-10-24 |
| 1003922691 | Michael T Furlong | Ophthalmology | 2107 N 1st St, Suite 101, San Jose, CA 95131-2019 | 2006-08-23 |
| 1013020817 | Hamid Sajjadi | Ophthalmology | 1002 S De Anza Blvd Ste D, San Jose, CA 95129-2778 | 2006-08-16 |
| 1437178803 | Gloria Wu | Ophthalmology | 2550 Samaritan Dr., Ste C, San Jose, CA 95124 | 2006-07-18 |
| 1487684106 | South Bay Retina Inc. | Ophthalmology | 455 Oconnor Dr Ste 310, San Jose, CA 95128 | 2006-07-05 |
| 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.