Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DERRICK T. KOO, O.D.
ActiveDR. DERRICK T. KOO, O.D. is a Corneal & Contact Management Optometrist healthcare provider located in CUPERTINO, California. NPI 1053502864 is currently active in the NPPES registry. Verify at CMS.
Corneal & Contact Management Optometrist · CUPERTINO, CA
Registration Details
- NPI Number
- 1053502864
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2007 (19.064418782215 yrs)
- Last Updated
- Jan 30, 2010
- License
-
OPT 13260 TPA (CA)
Practice Information
- Address
-
20568 STEVENS CREEK BLVDCUPERTINO, CA, 950142130Browse CA providers · Browse ZIP 95014
- Phone
- 4087779000
- Fax
- 4087779009
- Primary Specialty
-
Corneal & Contact Management Optometrist
152WC0802X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.