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Organization
KELLY C. KAO, O.D., A PROFESSIONAL CORPORATION
Active
Organization
KELLY C. KAO, O.D., A PROFESSIONAL CORPORATION
Active
Other names
STL Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KAO OD (PRESIDENT)
(408) 396-7179
Entity
Organization
Contact information
Practice address
1580 W EL CAMINO REAL STE 6, MOUNTAIN VIEW, CA 94040-2462
(650) 695-5917
Mailing address
1580 W EL CAMINO REAL STE 6, MOUNTAIN VIEW, CA 94040-2462
(650) 695-5917
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13772
CA
152WP0200X
Pediatric Optometrist
13772
CA
152WS0006X
Sports Vision Optometrist
13772
CA
152WV0400X
Vision Therapy Optometrist
13772
CA
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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