Provider Demographics
NPI:1417031832
Name:SILICON VALLEY EYE INSTITUTE, A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:SILICON VALLEY EYE INSTITUTE, A MEDICAL CORPORATION
Other - Org Name:THE EYE INSTITUTE OF SILICON VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:Y P
Authorized Official - Last Name:FUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-967-7834
Mailing Address - Street 1:2449 S KING RD
Mailing Address - Street 2:STE 10
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-1811
Mailing Address - Country:US
Mailing Address - Phone:408-238-1978
Mailing Address - Fax:
Practice Address - Street 1:2449 S KING RD
Practice Address - Street 2:STE 10
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-1811
Practice Address - Country:US
Practice Address - Phone:408-238-1978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty