Lisa Kit Yi Ko Optometrist Inc.

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

10352T Issued in CA

Legal business name

LISA KIT YI KO OPTOMETRIST INC.

Practice address

618 Blossom Hill Rd
Suite 100
San Jose, CA 95123-3048

Phone

(408) 578-2020

Fax

(408) 904-5119

NPI assigned

Sep 3, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lisa Ko, O.D.

Title

Owner

Phone

(408) 578-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Vision Center Optometry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joey Phi Tran, OD

  • Optometrist
  • Santa Clara, CA
  • NPI 1437711629
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1659688182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 BLOSSOM HILL RD",
            "address_2": "SUITE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233048",
            "telephone_number": "408-578-2020",
            "fax_number": "408-904-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 BLOSSOM HILL RD",
            "address_2": "SUITE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233048",
            "telephone_number": "408-578-2020",
            "fax_number": "408-904-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA KIT YI KO OPTOMETRIST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-578-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "10352T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0103520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Center Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marla Dawn Lipschultz, MA
• Cynthia Ann Lipson
• Lulette Lipumano-Sanchez, D.D.S.
• Andrea Lira Vazquez
• Lianna Lira
• Michele Lisa
• Regina D. Lising
• Rayne Liska
• Conrad Liszka
• Lita & Ava Inc

• Low Vision Rehabilitation Optometrist in San Jose, CA
• Providers in San Jose, CA by specialty
• Low Vision Rehabilitation Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.