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VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED NPI 1467409979


NPI Information

NPI: 1467409979
Provider Name: VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED
Classification: Optometrist - 152WL0500X
Entity Type: Organization

Specialization: Low Vision Rehabilitation

Address:
2500 EL CAMINO REAL STE 100
PALO ALTO, CA
ZIP 94306
Phone: (650) 858-0202
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VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED is a low vision rehabilitation optometrist in Palo Alto, CA. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED NPI is 1467409979. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 EL CAMINO REAL STE 100
PALO ALTO, CA
ZIP 94306
Phone: (650) 858-0202
Fax: (650) 858-0214

The provider's authorized official is Karae Lisle .
The authorized official title is Executive Director and has the following contact phone number (650) 858-0202.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 12/18/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WL0500XOptometristLow Vision Rehabilitation220000439CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CMM70427FMEDICAIDCALIFORNIA

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: 4/28/2024

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