Vistapark Family Optometry PC
Optometrist in San Jose, CA. Organization (NPI-2).
NPI number1508302944
StatusActive
Last updated in NPPESJan 9, 2017
Details
- NPI
- 1508302944
- Entity type
- Organization (NPI-2)
- Legal business name
- Vistapark Family Optometry PC
- Organization subpart
- No
- Enumeration date
- Jan 9, 2017
- Last updated
- Jan 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 10154t | CA | Yes |
Practice location
428 W Capitol ExpySan Jose, CA 95136-1303
Phone 408-578-6181 · Fax 408-578-0617
Mailing address
428 W Capitol ExpySan Jose, CA 95136-1303
Phone 408-578-6181 · Fax 408-578-0617
Authorized official
Yun Sang Park
Ceo
4085786181
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