Dr. William Dale Whitted
Optometrist Optomitrist - Low Vision Rehabilitation
1036 W Robinhood Dr Suite 105
Stockton
, California 95207-5623
Dr. William Dale Whitted
Optometrist Optomitrist - Low Vision Rehabilitation
1036 W Robinhood Dr Suite 105
Stockton
, California 95207-5623
(209) 951-4711
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About
Features
Specialties
- Optometrist
- Optomitrist - Low Vision Rehabilitation
Languages spoken
- English
Location
First Address
- Dr. William Dale Whitted
- 1036 W Robinhood Dr Suite 105
- Stockton, CA
- Zip : 95207-5623
- Fax : (209) 951-4711
- Phone : (209) 951-3693
Second Address
- Dr. William Dale Whitted
- 1036 W Robinhood Dr Suite 105
- Stockton, CA
- Zip : 95207-5623
- Fax : (209) 951-4711
- Phone : (209) 951-3693
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5969T | CA |
| N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | 5969T | CA |
National Provider Identifier
| NPI | 1013096122 |
|---|---|
| Provider Name | Dr. William Dale Whitted |
| First Address | Stockton, CA 95207-5623 |
| Second Address | Stockton, CA 95207-5623 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2006 |
| Last Update Date | 31/08/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T10185 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.