Individual
DR. BRETT WENDELL PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
118 MAIN ST, PLACERVILLE, CA 95667-5508
(530) 622-8300
(530) 622-8304
Mailing address
118 MAIN ST, PLACERVILLE, CA 95667-5508
(530) 622-8300
(530) 622-8304
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
111170-9933
UT
152W00000X
Optometrist
Primary
CA 7653T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111170-9933
UT OPTOMETRY LICENSE
UT
01
—
7653T
CALIFORNIA OPTOMETRY LICE
CA
05
—
SD0076530
—
CA
Enumeration date
11/13/2006
Last updated
05/05/2025
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