Chris Iwata, Od

NPI #1306390265 in Angels Camp, California

Provider Information

NPI Number: 1306390265
Entity Type: Organization
Organization Name: Chris Iwata, Od
Primary Specialty: Optometrist
Enumeration Date: Aug 9, 2016
Last Updated: Aug 9, 2016

Practice Location

Address: 595 STANISLAUS AVE STE C
City: Angels Camp
State: California
ZIP Code: 95222-9356
Phone: (209) 736-0908

Authorized Official

Name: PAULINE KITAGAWA
Title: MANAGER
Phone: (209) 736-0908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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