OrganizationActive
Advance Vision Center of Optometry, P C
NPI 1174680771 · Health Maintenance Organization · San Jose, CA
Provider details
- NPI number
- 1174680771
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Cindy Martinez, Office Manager(408) 947-2020
- License
- COR 964 (CA)
Specialties & taxonomies
Managed Care Organizations
Practice location
545 Meridian Ave
#g
San Jose, CA 95126-3451
Phone: (408) 947-2020
Fax: (408) 947-2077
Approximate (ZIP-level) locationGet directions
Mailing address
545 Meridian Ave
San Jose, CA 95126-3451
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2023-08-28
- Certified
- 2023-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.