MILPITAS OPTOMETRIC GROUP
NPI 1891839130
Optometrist - Corneal and Contact Management in Milpitas, CA

Active since February 19, 2007
1301 E CALAVERAS BLVD, MILPITAS, CA 95035(408) 263-2040(408) 946-2020 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Milpitas Optometric Group NPPES

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

MILPITAS OPTOMETRIC GROUP (NPI 1891839130) is a healthcare organization registered as a corneal and contact management in Milpitas, California and active in the NPI registry since February 2007. The organization lists Susan G Gordon, Treasuror, as its authorized official.

NPPES Registry Identity

NPI1891839130
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameMILPITAS OPTOMETRIC GROUP
Location Address1301 E CALAVERAS BLVDMilpitas, CA 95035-5543
Mailing Address1301 E Calaveras BlvdMilpitas, CA 95035-5543 · (408) 263-2040 · Fax (408) 946-2020
Fax(408) 946-2020
Organization SubpartNo
Authorized OfficialSusan G GordonTreasuror · (408) 263-2040
Enumeration DateFebruary 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891839130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
1301 E CALAVERAS BLVD, Milpitas, CA 95035

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Milpitas Optometric Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120207000723Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Milpitas Optometric Group, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Optometry
NPI 1376975235
1301 E CALAVERAS BLVD
Milpitas, CA 95035
(408) 263-2040
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1891767604
1301 E CALAVERAS BLVD
Milpitas, CA 95035
(408) 263-2040
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1316622384
1301 E CALAVERAS BLVD
Milpitas, CA 95035
(408) 263-2040
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1932179959
1301 E CALAVERAS BLVD
Milpitas, CA 95035
(408) 263-2040
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1235119108
1301 E CALAVERAS BLVD
Milpitas, CA 95035
(408) 263-2040
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1124697818
1301 E CALAVERAS BLVD
Milpitas, CA 95035
(408) 263-2040
✔ 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 Milpitas Optometric Group's NPI number?

The NPI number for Milpitas Optometric Group is 1891839130. It was assigned to this organization in the NPPES registry on February 19, 2007.

Where is Milpitas Optometric Group located?

Milpitas Optometric Group is located at 1301 E Calaveras Blvd, Milpitas, CA 95035. The listed phone number is (408) 263-2040.

What is Milpitas Optometric Group's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Milpitas Optometric Group enrolled in Medicare?

Yes. Milpitas Optometric Group is registered in the Medicare PECOS enrollment system.

When is Milpitas Optometric Group's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Milpitas Optometric Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Milpitas Optometric Group. 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. Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Milpitas Optometric Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.