# LISA KIT YI KO OPTOMETRIST INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Vision Center Optometry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659688182
- **Authorized official:** DR. LISA KO O.D. (OWNER)
- **Authorized official phone:** (408) 578-2020

## Contact information

- **Practice address:** 618 BLOSSOM HILL RD, SUITE 100, SAN JOSE, CA 95123-3048
- **Practice address phone:** (408) 578-2020
- **Practice address fax:** (408) 904-5119
- **Mailing address:** 618 BLOSSOM HILL RD, SUITE 100, SAN JOSE, CA 95123-3048
- **Mailing address phone:** (408) 578-2020
- **Mailing address fax:** (408) 904-5119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WL0500X | Low Vision Rehabilitation Optometrist | 10352T | CA | Yes |

## Other

- **Enumeration date:** 09/03/2010
- **Last updated:** 01/03/2012