Organization
CRAIG VAN WOERKOM, O.D., A.P.C.
Active
Other names
Pasadena Optometry Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG ARTHUR VAN WOERKOM O. D. (OWNER)
(626) 793-1483
Entity
Organization
Contact information
Practice address
960 E GREEN ST, SUITE 1000, PASADENA, CA 91106-2401
(626) 793-1483
(626) 793-5449
Mailing address
960 E GREEN ST, SUITE 1000, PASADENA, CA 91106-2401
(626) 793-1483
(626) 793-5449
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11769T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W21396
MEDICARE PTAN
CA
Enumeration date
02/13/2007
Last updated
01/21/2014
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