Healthcare Provider Details

I. General information

NPI: 1124019971
Provider Name (Legal Business Name): FRANCIS KUO O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2005
Last Update Date: 09/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

346 UNION ST STE. 1
SANTA CRUZ CA
95060-3730
US

IV. Provider business mailing address

346 UNION ST STE. 1
SANTA CRUZ CA
95060-3730
US

V. Phone/Fax

Practice location:
  • Phone: 831-460-9717
  • Fax:
Mailing address:
  • Phone: 831-460-9717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number8768T
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: