Organization
DRS LIM AND SCHRADER ODS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE C. SCHRADER OD (PARTNER)
(530) 756-2481
Entity
Organization
Contact information
Practice address
1109 KENNEDY PL 1, DAVIS, CA 95616-1271
(530) 756-2481
(530) 756-3548
Mailing address
1109 KENNEDY PL 1, DAVIS, CA 95616-1271
(530) 756-2481
(530) 756-3548
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5769T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YYY49118Y
—
CA
Enumeration date
08/09/2006
Last updated
01/29/2009
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