VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED (NPI# 1467409979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467409979 |
| Entity Type | Organization |
| Organization Name | VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED |
| Practice Address |
2500 El Camino Real Ste 100 Palo Alto CA 94306 |
| Mailing Address |
2500 El Camino Real Ste 100 Palo Alto CA 94306-1723 |
| Practice Telephone | 6508580202 |
| Practice Fax Number | 6508580214 |
| Mailing Telephone | 6508580202 |
| Mailing Fax Number | 6508580214 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | MS. KARAE LISLE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6508580202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
220000439 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CMM70427F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447804844 | Vista Center for The Blind and Visually Impaired | Optometrist | 101 N Bascom Ave, San Jose, CA 95128-1805 | 2019-07-24 |
| 1255388765 | Vista Center for The Blind and Visually Impaired | Optometrist | 3315 Mission Dr Ste B, Santa Cruz, CA 95065 | 2006-05-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED | 2500 El Camino Real Ste 100, Palo Alto, CA 94306-1723 |
| Street Address |
2500 EL CAMINO REAL STE 100 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629494505 | Jill Yuzuriha Fajardo | Optometrist | 2500 El Camino Real Ste 100, Palo Alto, CA 94306-1723 | 2014-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126538 | Vasily Salov | Massage Therapist | 2313 Park Blvd, Palo Alto, CA 94306 | 2020-08-25 |
| 1568982569 | Shian Hong | Registered Nurse | 270 Grant Avenue, Palo Alto, CA 94306 | 2017-06-21 |
| 1386092229 | Woo Jung Park | Acupuncturist | 4290 Wilkie Way #c, Palo Alto, CA 94306 | 2016-06-01 |
| 1225442205 | Keiko Gill | Chiropractor | 480 California Ave Ste 103, Palo Alto, CA 94306 | 2014-06-17 |
| 1093147092 | Thuy Nguyen | Optometrist | 109 California Ave Ste D101a, Palo Alto, CA 94306 | 2013-08-01 |
| 1750685293 | Erica Mikhli | Physician Assistant | 300 Pasteur Drive Cvrb 2nd Floor, Stanford, CA 94306 | 2010-12-24 |
| 1225262553 | Rina Biren Shah | Family Medicine | 270 Grant Ave., Mayview Community Health Center, Palo Alto, CA 94306 | 2009-05-14 |
| 1669640173 | Leah Zialcita | Physical Therapist | 2345 Yale Street, Palo Alto, CA 94306 | 2008-02-19 |
| 1578761631 | Mary June Asenathe Wagner | Dentist | 1795 El Camino Real #100, Palo Alto, CA 94306 | 2007-07-10 |
| 1972628923 | Lillian Landsman Burt | Social Worker | 2 Roosevelt Circle, Palo Alto, CA 94306 | 2007-03-20 |
| Find all providers in zip 94306 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| 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. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750465944 | Selma Chin | Optometrist | 2470 El Camino Real, Palo Alto, CA 94306-1714 | 2006-10-24 |
| 1568591196 | Tina San Cheng | Optometrist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2007-03-02 |
| 1740291442 | Shanida Patsamarn Ingalla | Optometrist | 3801 Miranda Ave, Optometry #112, Palo Alto, CA 94304-1207 | 2006-08-10 |
| 1962445213 | Curtis William Keswick | Optometrist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447804844 | Vista Center for The Blind and Visually Impaired | Optometrist | 101 N Bascom Ave, San Jose, CA 95128-1805 | 2019-07-24 |
| 1316260052 | The Center for The Partially Sighted | Optometrist | 18425 Burbank Blvd Ste 706, Tarzana, CA 91356-6668 | 2010-03-09 |
| 1891027272 | Richard Jeffrey Shuldiner | Optometrist | 761 Payette Dr, Corona, CA 92881-8494 | 2010-02-09 |
| 1013249986 | Earle Baum Center of The Blind Inc. | Optometrist | 4539 Occidental Rd, Santa Rosa, CA 95401-5635 | 2010-02-03 |
| 1154589331 | Eden Plaza Optometry | Optometrist | 3555 Rosecrans St Ste 102, San Diego, CA 92110-3232 | 2008-05-24 |
| 1104008382 | Dana Linnea Rawlings | Optometrist | 1000 Lakes Dr Ste 180, West Covina, CA 91790-2927 | 2007-11-29 |
| 1841333192 | Lise Kim Tong | Optometrist | 958 Moraga Rd, Lafayette, CA 94549-4525 | 2007-02-15 |
| 1114064664 | Robert Bruce Greer | Optometrist | 360 Minor Hall, University of California, Berkeley, CA 94720-2020 | 2007-01-31 |
| 1669528089 | Thanh Kien Truong | Optometrist | 3443 Balboa St Ste B, San Francisco, CA 94121-2701 | 2007-01-26 |
| 1346305869 | Nina Coleen Getz | Optometrist | 301 W Huntington Dr Ste 605, Arcadia, CA 91007-1514 | 2006-12-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.