Provider Demographics
NPI:1538942602
Name:VISION INSIGHT OPTOMETRY, INC
Entity type:Organization
Organization Name:VISION INSIGHT OPTOMETRY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:408-263-3000
Mailing Address - Street 1:10261 WILDHAWK DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95829-6572
Mailing Address - Country:US
Mailing Address - Phone:408-390-3179
Mailing Address - Fax:
Practice Address - Street 1:208 GREAT MALL DR
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-8040
Practice Address - Country:US
Practice Address - Phone:408-263-3000
Practice Address - Fax:408-263-8277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty