John R Prewett, Od INC

NPI #1720256993 in Grover Beach, California

Provider Information

NPI Number: 1720256993
Entity Type: Organization
Organization Name: John R Prewett, Od INC
Subpart: Yes (part of a larger organization)
Parent Organization: VISION CENTER OF SANTA MARIA
Primary Specialty: Optometrist
Enumeration Date: Feb 11, 2008
Last Updated: Feb 11, 2008

Practice Location

Address: 943 W GRAND AVE
City: Grover Beach
State: California
ZIP Code: 93433-2135
Phone: (805) 489-2020

Authorized Official

Name: DR. JOHN RADER PREWETT, OD
Title: OWNER
Phone: (805) 489-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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