Individual
DR. JAN WILLIAM NYSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1620 W CAMPBELL AVE, CAMPBELL, CA 95008-1535
(408) 376-0460
(408) 376-0461
Mailing address
1620 W CAMPBELL AVE, CAMPBELL, CA 95008-1535
(408) 376-0460
(408) 376-0461
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8553T
CA
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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