Provider Demographics
NPI:1124019971
Name:KUO, FRANCIS (OD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:
Last Name:KUO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346 UNION ST
Mailing Address - Street 2:STE. 1
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-3730
Mailing Address - Country:US
Mailing Address - Phone:831-460-9717
Mailing Address - Fax:
Practice Address - Street 1:346 UNION ST
Practice Address - Street 2:STE. 1
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-3730
Practice Address - Country:US
Practice Address - Phone:831-460-9717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-01
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8768T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4421240001OtherMEDICARE DME
CASD0087680Medicaid
CA4421240001Medicare NSC
CAU53591Medicare UPIN
CASD0087680Medicaid