Charles Reeves Wyatt in San Jose - Optometrist

Charles Reeves Wyatt - NPI 1942357108

Charles Reeves Wyatt is a Optometrist in San Jose, California. Charles Reeves Wyatt practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Charles Reeves Wyatt is 1942357108. The last update date is 2007-07-08.

Charles Reeves Wyatt's current location address is 5755 Cottle Rd, San Jose, California. You can contact this provider via phone number 4089723413 and fax number 4089723592. The mailing address for Charles Reeves Wyatt is 5755 Cottle Rd, San Jose, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Reeves Wyatt
Address 5755 Cottle Rd, San Jose, California
Phone Number 4089723413
Fax Number 4089723592
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1942357108
Provider Enumeration Date 2007-01-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5755 Cottle Rd
City San Jose
State California (CA)
Post Code 951233640
Phone Number 4089723413
Fax Number 4089723592

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 4913T
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

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FAQs about Charles Reeves Wyatt

What is the Charles Reeves Wyatt's unique identification number?

The Charles Reeves Wyatt has been assigned the NPI (National Provider Identifier) Number 1942357108 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Charles Reeves Wyatt is located?

The Charles Reeves Wyatt is situated at the following address: 5755 Cottle Rd, San Jose, CA, 951233640.

What is the Charles Reeves Wyatt's specialty and taxonomy code?

The Charles Reeves Wyatt's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1942357108 to Charles Reeves Wyatt?

The Charles Reeves Wyatt received its 1942357108 assignment from the Centers for Medicare & Medicaid Services on 2007-01-03.

As of what date were the details pertaining to Charles Reeves Wyatt last refreshed?

The information related to the Charles Reeves Wyatt, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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