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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902987001 | NPPES |
| California | MEDICAID | SD0073121 |
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