Berryessa Optometry, A Professional Corp
NPI 1588632863ActiveOrganization· Optometrist· San Jose, CA
Optometrist in San Jose, California, registered in NPPES in March 2006. The authorized official on file is Thomas L. Lim, O.D., Optometrist/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588632863 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 10, 2006 |
| Last updated in NPPES | Jan 22, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 10434T | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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