Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
WOODCREST VISION CENTER- OPTOMETRY
Active
Organization
WOODCREST VISION CENTER- OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER SHAW MC MINN O.D. (OWNER OPTOMETRIST)
(951) 780-0270
Entity
Organization
Contact information
Practice address
17675 VAN BUREN BLVD, SUITE C, RIVERSIDE, CA 92504
(951) 780-0270
(951) 780-4807
Mailing address
17675 VAN BUREN BLVD, SUITE C, RIVERSIDE, CA 92504
(951) 780-0270
(951) 780-4807
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 6553T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ95800Z
—
CA
Enumeration date
05/15/2007
Last updated
06/30/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up