# VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255388765
- **Legal business name:** VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED
- **Authorized official:** MS. KARAE LISLE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (650) 858-0202

## Contact information

- **Practice address:** 3315 MISSION DR STE B, SANTA CRUZ, CA 95065
- **Practice address phone:** (831) 458-9766
- **Practice address fax:** (831) 426-6233
- **Mailing address:** 2500 EL CAMINO REAL STE 100, PALO ALTO, CA 94306-1723
- **Mailing address phone:** (650) 858-0202
- **Mailing address fax:** (650) 858-0214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WL0500X | Low Vision Rehabilitation Optometrist | 220000439 | CA | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 12/18/2018
