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Contact Information

VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED
3315 MISSION DR STE B
SANTA CRUZ, CA95065
 Phone: 831-458-9766
 Fax: 831-426-6233
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED · (Female)

NPI Number 1255388765
Status Active
Credentials
Entity Individual
Enumeration date 05/28/2006
Last updated 12/18/2018 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 220000439
  • CA Medicaid CMM70249F
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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