Organization
ELITE EYE CARE OPTOMETRY GROUP
Active
Other names
Vista Eye Center Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK T. KOO O.D. (PRESIDENT)
(408) 777-9000
Entity
Organization
Contact information
Practice address
20568 STEVENS CREEK BLVD, CUPERTINO, CA 95014-2130
(408) 777-9000
(408) 777-9009
Mailing address
20568 STEVENS CREEK BLVD, CUPERTINO, CA 95014-2130
(408) 777-9000
(408) 777-9009
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13260T
CA
Other
Enumeration date
10/26/2009
Last updated
03/08/2010
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