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Contact Information

CHRIS H IWATA, OD
595 STANISLAUS ST
STE C
ANGELS CAMP, CA95222
 Phone: 209-736-0908
 Fax: 209-736-9352
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CHRIS H IWATA · (Male)

NPI # 1851371520
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/19/2006
Last updated 08/19/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 5700T
  • CA Other 942507411 FEDERAL TAX ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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