Elite Eye Care Optometry Group
NPI #1841526852 in Cupertino, California
Provider Information
- NPI Number
- 1841526852
- Entity Type
- Organization
- Organization Name
- Elite Eye Care Optometry Group
- Primary Specialty
- Optometrist
- Enumeration Date
- Oct 26, 2009
- Last Updated
- Mar 8, 2010
Practice Location
- Address
- 20568 STEVENS CREEK BLVD
- City
- Cupertino
- State
- California
- ZIP Code
- 95014-2130
- Phone
- (408) 777-9000
Authorized Official
- Name
- DR. DERRICK T. KOO, O.D.
- Title
- PRESIDENT
- Phone
- (408) 777-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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