Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANTHONY JOHN VANDE WYDEVEN, OD
Active Sole ProprietorDR. ANTHONY JOHN VANDE WYDEVEN, OD is a Optometrist healthcare provider located in CULVER CITY, California. NPI 1861413304 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CULVER CITY, CA
Registration Details
- NPI Number
- 1861413304
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2006 (20.087068393204 yrs)
- Last Updated
- Oct 15, 2009
- Licenses
-
8132T (CA)8132T (CA)8132T (CA)8132T (CA)8132T (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10522 VENICE BLVDCULVER CITY, CA, 902323308Browse CA providers · Browse ZIP 90232
- Phone
- 3108380521
- Fax
- 3108396201
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Corneal & Contact Management Optometrist
- Additional Specialty
- Pediatric Optometrist
- Additional Specialty
- Sports Vision Optometrist
- Additional Specialty
- Occupational Vision Optometrist
Other Optometrist Providers in CULVER CITY, CA
| Name | Credential | NPI |
|---|---|---|
| DR. HEIDI MICHELE FAHRINGER | OD | 1295769271 |
| DR. JASON H NAKAGAWA | O.D | 1861415481 |
| DR. WILLIAM EDWARD MELZER | O.D. | 1487723953 |
| DR. MICHAEL IAN LEVIN | OD | 1033268081 |
| GEOFFREY ALAN YEO | O.D. | 1730230400 |
| DR. MERCEDEH MOTAMENI | O.D. | 1841343647 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.