# KEITH KOSAKURA, O.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811124316
- **Authorized official:** DR. KEITH H KOSAKURA O.D. (OWNER)
- **Authorized official phone:** (408) 257-5262

## Contact information

- **Practice address:** 19998 HOMESTEAD RD, SUITE E, CUPERTINO, CA 95014-0569
- **Practice address phone:** (408) 257-5262
- **Practice address fax:** (408) 257-8271
- **Mailing address:** 19998 HOMESTEAD RD, SUITE E, CUPERTINO, CA 95014-0569
- **Mailing address phone:** (408) 257-5262
- **Mailing address fax:** (408) 257-8271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | 10854 T | CA | Yes |

## Other

- **Enumeration date:** 06/11/2009
- **Last updated:** 06/11/2009