Chris Iwata, OD
Organization Active NPI Optometrist · Angels Camp, CA
NPI 1306390265 · NPPES record last updated Aug 9, 2016
Key facts
- NPI
- 1306390265
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 5700TLG (CA)
- Legal business name
- CHRIS IWATA, OD
- Practice address
- 595 Stanislaus Ave Ste C
Angels Camp, CA 95222-9356 - Phone
- (209) 736-0908
- NPI assigned
- Aug 9, 2016
- Organization subpart
- No
Authorized official
- Name
- Pauline Kitagawa
- Title
- Manager
- Phone
- (209) 736-0908
Practitioners 1
-
Livia Speare Galli Rasmussen, OD, MS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 5700TLG | CA | Yes |
Addresses
Primary practice location
595 Stanislaus Ave Ste C
Angels Camp, CA 95222-9356
Mailing address
595 Stanislaus Ave Ste C
Angels Camp, CA 95222-9356
Phone (209) 736-0908
Other providers in Angels Camp, CA
- Jonathan Charles Blankenship
- Bret Harte Union High School District
- Calaveras County Office of Education
- Calaveras County Office of Education
- Changing Echoes, Inc
- Christopher J Krpan DO PSC
- Rocky Allen Cozzo
- Gwendelyn De Guzman Enriquez
- Lisa Marie Garcia
- Colleen Gavan
All providers in Angels Camp, CA · Optometrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.