# EYE MEDICAL CLINIC OF SANTA CLARA VALLEY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497077119
- **Authorized official:** DR. JOHN H. SULLIVAN MD (PARTNER)
- **Authorized official phone:** (408) 869-3400

## Contact information

- **Practice address:** 220 MERIDIAN AVE, SAN JOSE, CA 95126-2903
- **Practice address phone:** (408) 869-3400
- **Practice address fax:** (408) 947-7972
- **Mailing address:** 220 MERIDIAN AVE, SAN JOSE, CA 95126-2903
- **Mailing address phone:** (408) 869-3400
- **Mailing address fax:** (408) 947-7972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2010
- **Last updated:** 02/22/2010