Mosiman, Corwyn Alfred

Mosiman, Corwyn Alfred is an sole proprietor health care provider with primary practice located at 386 S Green Valley Rd , Watsonville CA 95076-3099. He recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Mosiman, Corwyn Alfred can be contacted via phone (831) 724-1063.

Contact Information

Primary practice address
386 S Green Valley Rd Watsonville CA 95076-3099
Fax: (831) 724-1067
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 7532 TPA California
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPT 7532 TPA California
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X OPT 7532 TPA California
Eye and Vision Services Providers / Pediatrics 152WP0200X OPT 7532 TPA California
Eye and Vision Services Providers / Sports Vision 152WS0006X OPT 7532 TPA California
Eye and Vision Services Providers / Vision Therapy 152WV0400X OPT 7532 TPA California
Eye and Vision Services Providers / Occupational Vision 152WX0102X OPT 7532 TPA California

Profile Details

NPI number 1689674145
LBN Legal business name Mosiman, Corwyn Alfred
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2005
Last updated Aug 2nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689674145 NPPES
California Other 1396787214 GROUP NPI

Popular Providers