Robert Widerspan, OD

NPI 1295944452 · on the registry since 2007 · sole proprietor

Practice

Address: 4015 Capitola Rd
Santa Cruz, CA 95062
Phone: (831) 475-8639
Fax: (831) 464-1075
Organisation at this address: Luxottica Retail North America Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Optometrist
152W00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California