1. Home
  2. Directory
  3. California
  4. San Jose
  5. Ophthalmology
  6. NPI Profile

SOUTH BAY OPHTHALMOLOGY INC
NPI 1104139898
Ophthalmology in San Jose, CA

Active since July 22, 2010
2505 SAMARITAN DR, SUITE 408, SAN JOSE, CA 95124(408) 358-5300(408) 358-8999 Get Directions Write a Review

NPPES record last updated: August 20, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Bay Ophthalmology Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH BAY OPHTHALMOLOGY INC (NPI 1104139898) is a healthcare organization registered as an ophthalmology in San Jose, California and active in the NPI registry since July 2010. The organization lists Edward Joseph Saub, President, as its authorized official.

NPPES Registry Identity

NPI1104139898
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSOUTH BAY OPHTHALMOLOGY INC
Location Address2505 SAMARITAN DR, SUITE 408San Jose, CA 95124-4006
Mailing Address2505 Samaritan Dr, Suite 408San Jose, CA 95124-4006 · (408) 358-5300 · Fax (408) 358-8999
Phone(408) 358-5300
Fax(408) 358-8999
Organization SubpartNo
Authorized OfficialEdward Joseph SaubPresident · (408) 358-5300
Enumeration DateJuly 22, 2010
Last NPPES UpdateAugust 20, 2013
✔ NPI 1104139898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A66242
Definition
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.
2505 SAMARITAN DR, San Jose, CA 95124
Open in Google Maps ↗

Other Identifiers 1

Medicare PINDI1612ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Bay Ophthalmology Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to South Bay Ophthalmology Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Edward Saub, M.D.
Ophthalmology
NPI 1447223219
2505 SAMARITAN DR SUITE 408
San Jose, CA 95124
(408) 358-5300
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Bay Ophthalmology Inc's NPI number?

The NPI number for South Bay Ophthalmology Inc is 1104139898. It was assigned to this organization in the NPPES registry on July 22, 2010.

Where is South Bay Ophthalmology Inc located?

South Bay Ophthalmology Inc is located at 2505 Samaritan Dr Suite 408, San Jose, CA 95124. The listed phone number is (408) 358-5300.

What is South Bay Ophthalmology Inc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is South Bay Ophthalmology Inc enrolled in Medicare?

Yes. South Bay Ophthalmology Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Bay Ophthalmology Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to South Bay Ophthalmology Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South Bay Ophthalmology Inc was last updated on August 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.