Jay Mitchell Wofchuck in Norco - Optometrist

Jay Mitchell Wofchuck - NPI 1114006319

Jay Mitchell Wofchuck is a Optometrist in Norco, California. Jay Mitchell Wofchuck practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jay Mitchell Wofchuck is 1114006319. The last update date is 2009-08-31.

Jay Mitchell Wofchuck's current location address is 3179 Hamner Ave, Norco, California. You can contact this provider via phone number 9517344802 and fax number 9517343035. The mailing address for Jay Mitchell Wofchuck is 3179 Hamner Ave, Norco, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jay Mitchell Wofchuck
Address 3179 Hamner Ave, Norco, California
Phone Number 9517344802
Fax Number 9517343035
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1114006319
Provider Enumeration Date 2006-11-06
Last Updated Date 2009-08-31

Provider Mailing Address Detail

Address 3179 Hamner Ave
City Norco
State California (CA)
Post Code 928601983
Phone Number 9517344802
Fax Number 9517343035

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No OPT6838T
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
SD0068380 CA --

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FAQs about Jay Mitchell Wofchuck

What is the unique identification code assigned to Jay Mitchell Wofchuck by the Centers for Medicare & Medicaid Services?

The Jay Mitchell Wofchuck has been issued the NPI (National Provider Identifier) 1114006319. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jay Mitchell Wofchuck is physically located?

The Jay Mitchell Wofchuck is physically situated at the following address: 3179 Hamner Ave, Norco, CA, 928601983.

What is Jay Mitchell Wofchuck's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jay Mitchell Wofchuck's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.

On what date did the Jay Mitchell Wofchuck receive the assignment of its 1114006319 from the Centers for Medicare & Medicaid Services?

The Jay Mitchell Wofchuck was issued its 1114006319 by the Centers for Medicare & Medicaid Services on 2006-11-06.

As of what date was the information regarding Jay Mitchell Wofchuck, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jay Mitchell Wofchuck, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-08-31.

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