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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

NPI # 1255388765
LBN Legal business name VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED
Authorized official KARAE LISLE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/28/2006
Last updated 12/18/2018 - About 7 years ago
Identifiers
CA License # 220000439
CA Medicaid CMM70249F
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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