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Organization
JOHN R PREWETT, OD INC
Active
Organization
JOHN R PREWETT, OD INC
Active
Parent organization
VISION CENTER OF SANTA MARIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
VISION CENTER OF SANTA MARIA
Authorized official
DR. JOHN RADER PREWETT OD (OWNER)
(805) 489-2020
Entity
Organization
Contact information
Practice address
943 W GRAND AVE, GROVER BEACH, CA 93433-2135
(805) 489-2020
Mailing address
943 W GRAND AVE, GROVER BEACH, CA 93433-2135
(805) 489-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 7312 TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0073120
—
CA
Enumeration date
02/11/2008
Last updated
02/11/2008
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