Provider Demographics
NPI:1114267432
Name:SIGHT OPTOMETRY PC
Entity Type:Organization
Organization Name:SIGHT OPTOMETRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:KUO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:650-938-3698
Mailing Address - Street 1:369 CASTRO ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-1205
Mailing Address - Country:US
Mailing Address - Phone:650-938-3698
Mailing Address - Fax:650-938-3699
Practice Address - Street 1:369 CASTRO ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94041-1205
Practice Address - Country:US
Practice Address - Phone:650-938-3698
Practice Address - Fax:650-938-3699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-22
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11679T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty