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Organization
VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED
Active
Organization
VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARAE LISLE (EXECUTIVE DIRECTOR)
(650) 858-0202
Entity
Organization
Contact information
Practice address
2500 EL CAMINO REAL STE 100, PALO ALTO, CA 94306
(650) 858-0202
(650) 858-0214
Mailing address
2500 EL CAMINO REAL STE 100, PALO ALTO, CA 94306-1723
(650) 858-0202
(650) 858-0214
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
220000439
CA
Other
Enumeration date
05/28/2006
Last updated
12/18/2018
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