Prewett, John Rader

Prewett, John Rader is an sole proprietor health care provider with primary practice located at 1429 S Broadway , Santa Maria CA 93454-6913. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Prewett, John Rader can be contacted via phone (805) 925-9575.

Contact Information

Primary practice address
1429 S Broadway Santa Maria CA 93454-6913
Phone: (805) 925-9575
Fax: (805) 739-8886
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X CA7312 California

Profile Details

NPI number 1902987001
LBN Legal business name Prewett, John Rader
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902987001 NPPES
California MEDICAID SD0073121

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