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Organization

VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED

Active
Parent organization
VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED
Organization subpart
Yes

Provider details

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

Contact information

Practice address
3315 MISSION DR STE B, SANTA CRUZ, CA 95065
(831) 458-9766
(831) 426-6233
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

Other identifiers
Code
Description
Identifier
Issuer
State
05
CMM70249F
CA
Enumeration date
05/28/2006
Last updated
12/18/2018
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