MEDICARE: JOHN R PREWETT O D INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	CA7312	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548308489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN R PREWETT O D INC

Provider Business Mailing Address
First Line	:	1429 S BROADWAY
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93454-6913
Country	:	US
Telephone Number	:	805-925-9575
Fax Number	:	805-739-8886

Provider Business Practice Location Address
First Line	:	1429 S BROADWAY
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93454-6913
Country	:	US
Telephone Number	:	805-925-9575
Fax Number	:	805-739-8886

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOHN RADER PREWETT
Credential	:	OD
Telephone Number	:	805-925-9575

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	08/19/2014

Similar Medicare Providers

1902987001 — DR. JOHN RADER PREWETT O.D.
Practice Location Address:

1429 S BROADWAY
SANTA MARIA, CA
93454-6913

Practice Phone: 805-925-9575
Practice Fax: 805-739-8886

1942336292 — DR. CHRISTOPHER DAVID MORGAN DMD
Practice Location Address:

2201 BROTHERS RD
SANTA FE, NM
87505-6913

Practice Phone: 505-988-4119
Practice Fax: 505-988-1405

1093953929 — ROBIN LYNN VAN BUREN CCC-SLP
Practice Location Address:

2961 W MACARTHUR BLVD , 127
SANTA ANA, CA
92704-6913

Practice Phone: 714-241-8815
Practice Fax:

1689136418 — CESAR'S ROOM
Practice Location Address:

2201 BROTHERS RD
SANTA FE, NM
87505-6913

Practice Phone: 505-913-0953
Practice Fax:

1104765312 — VALERIE PENA DO
Practice Location Address:

1400 E CHURCH ST
SANTA MARIA, CA
93454-5906

Practice Phone: 805-354-7101
Practice Fax:

1376482166 — ALENE CHUAN LAI
Practice Location Address:

1400 E CHURCH ST
SANTA MARIA, CA
93454-5906

Practice Phone: 805-354-7101
Practice Fax:

Directions to “JOHN R PREWETT O D INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.