Widerspan, Robert Benjamin

Widerspan, Robert Benjamin is an sole proprietor health care provider with primary practice located at 4015 Capitola Rd , Santa Cruz CA 95062. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Widerspan, Robert Benjamin can be contacted via phone (831) 475-8639.

Contact Information

Primary practice address
4015 Capitola Rd Santa Cruz CA 95062
Phone: (831) 475-8639
Fax: (831) 464-1075
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8047T California

Profile Details

NPI number 1295944452
LBN Legal business name Widerspan, Robert Benjamin
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Apr 24th, 2012 - 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.

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