MEDICARE: IDEAL FORTUNE CO. INC.

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	156FC0800X	Contact Lens Technician/Technologist	D7585	CA
2	156FX1800X	Optician	D7585	CA

General Provider Information

NPI Number	:	1861787624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IDEAL FORTUNE CO. INC.

Provider Business Mailing Address
First Line	:	1535 LANDESS AVE
Second Line	:	SUITE 133
City	:	MILPITAS
State	:	CA
Zip	:	95035-8208
Country	:	US
Telephone Number	:	408-934-9117
Fax Number	:

Provider Business Practice Location Address
First Line	:	1535 LANDESS AVE
Second Line	:	SUITE 133
City	:	MILPITAS
State	:	CA
Zip	:	95035-8208
Country	:	US
Telephone Number	:	408-934-9117
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CARLOS GO
Credential	:
Telephone Number	:	909-525-9500

Provider Enumeration Date	:	06/09/2011
Last Update Date	:	06/09/2011

Similar Medicare Providers

1780527416 — MELODY SONG CNA
Practice Location Address:

1535 LANDESS AVE STE 103
MILPITAS, CA
95035-8208

Practice Phone: 408-256-0763
Practice Fax:

1619068111 — DR. XUAN HUONG THI PHAM O.D
Practice Location Address:

1535 LANDESS AVE # 117
MILPITAS, CA
95035-8208

Practice Phone: 408-520-4774
Practice Fax: 408-520-4774

1033470497 — DELA CRUZ OPTOMETRIC CORPORATION
Practice Location Address:

1535 LANDESS AVE , STE 117
MILPITAS, CA
95035-8208

Practice Phone: 408-934-5938
Practice Fax: 408-934-5939

1104896513 — DR. SOPHIE K DAO O.D.
Practice Location Address:

991 MONTAGUE EXPY STE 111
MILPITAS, CA
95035-6818

Practice Phone: 408-262-1221
Practice Fax: 408-262-0789

1083642086 — CLARKSON OPTOMETRY MIDWEST INC
Practice Location Address:

3600 OLENTANGY RIVER RD STE B
COLUMBUS, OH
43214-3437

Practice Phone: 636-200-4393
Practice Fax: 614-545-0749

1023120409 — HARRIS WILCOX AND DONOVAN PA
Practice Location Address:

2023 PROFESSIONAL CENTER DR
ORANGE PARK, FL
32073-4461

Practice Phone: 904-272-2020
Practice Fax: 904-272-5762

Directions to “IDEAL FORTUNE CO. INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.