MEDICARE: SIGHT OPTOMETRY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	11679T	CA

General Provider Information

NPI Number	:	1114267432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGHT OPTOMETRY PC

Provider Business Mailing Address
First Line	:	369 CASTRO ST
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94041-1205
Country	:	US
Telephone Number	:	650-938-3698
Fax Number	:	650-938-3699

Provider Business Practice Location Address
First Line	:	369 CASTRO ST
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94041-1205
Country	:	US
Telephone Number	:	650-938-3698
Fax Number	:	650-938-3699

Authorized Official
Title or Position	:	SECRETARY
Name	:	DR. CANDACE Y KUO
Credential	:	OD
Telephone Number	:	650-938-3698

Provider Enumeration Date	:	02/22/2013
Last Update Date	:	02/22/2013

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