MEDICARE: DR. SOMI OH O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	7882T	CA

General Provider Information

NPI Number	:	1629117940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SOMI OH O.D.

Provider Business Mailing Address
First Line	:	2908 EL CAMINO REAL STE 120
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95051-2944
Country	:	US
Telephone Number	:	408-984-2020
Fax Number	:	408-984-2016

Provider Business Practice Location Address
First Line	:	2908 EL CAMINO REAL STE 120
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95051-2944
Country	:	US
Telephone Number	:	408-984-2020
Fax Number	:	408-984-2016

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	07/31/2025

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