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
Phone: (831) 724-1063
Fax: (831) 724-1067
Website:
Health care specialties
| Specialty | Code | License # | 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 14 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 | 1689674145 | NPPES |
| California | Other | 1396787214 | GROUP NPI |
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