DR. DERRICK T. KOO O.D. NPI 1053502864

NPI Information

NPI: 1053502864
Provider Name: DR. DERRICK T. KOO, O.D.
Classification: Optometrist - 152WC0802X
Entity Type: Individual

Specialization: Corneal and Contact Management

Address:
20568 STEVENS CREEK BLVD
CUPERTINO, CA
ZIP 95014
Phone: (408) 777-9000
Get Directions

DR. Derrick T. Koo, O.D. is a corneal and contact management optometrist in Cupertino, CA. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. DR. Derrick T. Koo, O.D. NPI is 1053502864. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20568 STEVENS CREEK BLVD
CUPERTINO, CA
ZIP 95014-130
Phone: (408) 777-9000
Fax: (408) 777-9009

The enumeration date for this NPI number is 8/6/2007 and was last updated on 1/30/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WC0802X	Optometrist	Corneal and Contact Management	OPT 13260 TPA	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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