Organization
BLOSSOM VALLEY EYECARE
Active
Other names
Blossom Valley Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM HYATT O.D. (OWNER)
(408) 227-2020
Entity
Organization
Contact information
Practice address
590 BLOSSOM HILL RD, SAN JOSE, CA 95123-3212
(408) 227-2020
(408) 227-2023
Mailing address
590 BLOSSOM HILL RD, SAN JOSE, CA 95123-3212
(408) 227-2020
(408) 227-2023
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
09532T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09532T
OPTOMETRY LICENSE
CA
05
—
SD0095321
—
CA
Enumeration date
04/16/2007
Last updated
08/22/2020
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