Individual
DR. CHRISTINA SUSANNE WILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2222 BANCROFT EXT, BERKELEY, CA 94720-4303
(510) 643-2020
(510) 642-9422
Mailing address
2222 BANCROFT EXT, BERKELEY, CA 94720-4303
(510) 643-2020
(510) 642-9422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10667 TPG
CA
152W00000X
Optometrist
483
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10667 TLG
STATE LICENSE
CA
01
—
483
STATE LICENSE NUMBER
NM
Enumeration date
12/20/2006
Last updated
03/07/2023
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