Organization
LISA KIT YI KO OPTOMETRIST INC.
Active
Other names
Family Vision Center Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA KO O.D. (OWNER)
(408) 578-2020
Entity
Organization
Contact information
Practice address
618 BLOSSOM HILL RD, SUITE 100, SAN JOSE, CA 95123-3048
(408) 578-2020
(408) 904-5119
Mailing address
618 BLOSSOM HILL RD, SUITE 100, SAN JOSE, CA 95123-3048
(408) 578-2020
(408) 904-5119
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
10352T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0103520
—
CA
Enumeration date
09/03/2010
Last updated
01/03/2012
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