DR. CHRIS H. IWATA (NPI# 1851371520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851371520 |
| Entity Type | Individual |
| Full Name | DR. CHRIS H. IWATA |
| Credential | OD |
| Practice Address |
595 Stanislaus St Ste C Angels Camp CA 95222 |
| Mailing Address |
Po Box 501 Angels Camp CA 95222-0501 |
| Practice Telephone | 2097360908 |
| Practice Fax Number | 2097369352 |
| Mailing Telephone | 2097360908 |
| Mailing Fax Number | 2097369352 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2008-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5700T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FEDERAL TAX ID | 942507411 | 01 |
| Street Address |
595 STANISLAUS ST STE C |
| City | ANGELS CAMP |
| State | CA |
| Zip Code | 95222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417505918 | Mact Health Board, Inc. | Dentist | 52 S Main Street, Suite B, Angels Camp, CA 95222 | 2019-08-28 |
| 1447747076 | Christina Hauer | Physical Therapist | 457 S Main Street, Angels Camp, CA 95222 | 2018-04-19 |
| 1760832836 | Kelli Marie Karr | Physical Therapist | 571 Stanislaus Ave, Ste F, Angels Camp, CA 95222 | 2016-06-20 |
| 1932522364 | Donald Anthony St. Claire Sr. | Internal Medicine | 401 Albasio Ct., Angels Camp, CA 95222 | 2014-01-21 |
| 1760538532 | Jane S Lucas | Marriage & Family Therapist | 1311 S. Main St., Suite C, Angels Camp, CA 95222 | 2007-01-26 |
| 1942362488 | Nitya Prema | Marriage & Family Therapist | 1311 South Main St, Angels Camp, CA 95222 | 2006-12-14 |
| 1629011937 | Longs Drug Stores California LLC | Pharmacy | 41 North Main St, Angels Camp, CA 95222 | 2006-06-14 |
| 1477596096 | Robert Shelby Haymond | Ophthalmology | 1300 Kurt Dr, Ste 102, Angels Camp, CA 95222 | 2006-06-13 |
| 1710943469 | Jeffrey Howard Schwartz | Podiatrist | 575 Stanislaus St., Suite C, Angels Camp, CA 95222 | 2006-04-21 |
| 1821089749 | Sonora Community Hospital | Family Medicine | 445 South Main St, Angels Camp, CA 95222 | 2005-10-31 |
| Find all providers in zip 95222 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306390265 | Chris Iwata, Od | Optometrist | 595 Stanislaus Ave Ste C, Angels Camp, CA 95222-9356 | 2016-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183428 | Ashley Park | Optometrist | 386 S Green Valley Rd Ste 2, Watsonville, CA 95076-3007 | 2020-10-30 |
| 1053911842 | Michael Guerret | Optometrist | 4130 N Viking Way # 110, Long Beach, CA 90808-1402 | 2020-10-29 |
| 1912506155 | Minati Desai Acharya, O.d., Optometric Corporation | Optometrist | 117 Pelton Center Way, San Leandro, CA 94577-4815 | 2020-10-20 |
| 1740888627 | Jennifer Ngo | Optometrist | 3217 W 153rd St, Gardena, CA 90249-4011 | 2020-10-13 |
| 1649878521 | Jennie Lin | Optometrist | 12914 Cranleigh St, Cerritos, CA 90703-7245 | 2020-10-13 |
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1114524196 | Kenneth E. Sweeney, O.d., Inc. | Optometrist | 825 Pollard Rd Ste 208, Los Gatos, CA 95032-1435 | 2020-10-03 |
| 1316544364 | Chelsey Kimiko Honma | Optometrist | 3151 Airway Ave Ste M3, Costa Mesa, CA 92626-4626 | 2020-10-02 |
| 1437766920 | Mary Mekhael | Optometrist | 5901 Center Dr Apt 456, Los Angeles, CA 90045-8969 | 2020-09-28 |
| 1013524677 | Jennifer Dang, O.d., A Professional Corporation | Optometrist | 301 S Western Ave Ste 103, Los Angeles, CA 90020-3816 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | ANGELS CAMP |
| Zip Code | 95222 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.