DR. William Dale Whitted, O.D.

NPI #1013096122 in Stockton, California

Provider Information

NPI Number: 1013096122
Entity Type: Individual
Name: DR. William Dale Whitted, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 2, 2006
Last Updated: Aug 31, 2007

Practice Location

Address: 1036 W ROBINHOOD DR
Address 2: SUITE 105
City: Stockton
State: California
ZIP Code: 95207-5623
Phone: (209) 951-3693

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Optometrist - Low Vision Rehabilitation — Low Vision Rehabilitation	152WL0500X

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