MEDICARE: DR. CORWYN ALFRED MOSIMAN O.D.

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	OPT 7532 TPA	CA
2	152WC0802X	Corneal and Contact Management Optometrist	OPT 7532 TPA	CA
3	152WL0500X	Low Vision Rehabilitation Optometrist	OPT 7532 TPA	CA
4	152WP0200X	Pediatric Optometrist	OPT 7532 TPA	CA
5	152WS0006X	Sports Vision Optometrist	OPT 7532 TPA	CA
6	152WV0400X	Vision Therapy Optometrist	OPT 7532 TPA	CA
7	152WX0102X	Occupational Vision Optometrist	OPT 7532 TPA	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1396787214	OTHER	CA	GROUP NPI

General Provider Information

NPI Number	:	1689674145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CORWYN ALFRED MOSIMAN O.D.

Provider Business Mailing Address
First Line	:	386 S GREEN VALLEY RD
Second Line	:
City	:	WATSONVILLE
State	:	CA
Zip	:	95076-3099
Country	:	US
Telephone Number	:	831-724-1063
Fax Number	:	831-724-1067

Provider Business Practice Location Address
First Line	:	386 S GREEN VALLEY RD
Second Line	:
City	:	WATSONVILLE
State	:	CA
Zip	:	95076-3099
Country	:	US
Telephone Number	:	831-724-1063
Fax Number	:	831-724-1067

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	08/02/2011

Similar Medicare Providers

1083589311 — ALLYSON LYNN PICONE PA-C
Practice Location Address:

398 S GREEN VALLEY RD
WATSONVILLE, CA
95076-3099

Practice Phone: 831-724-7525
Practice Fax:

1972553725 — ERIKA GOHL PT
Practice Location Address:

394 S GREEN VALLEY RD
WATSONVILLE, CA
95076-3099

Practice Phone: 831-786-9000
Practice Fax:

1609828227 — STEVEN BRUCE PT
Practice Location Address:

394 S GREEN VALLEY RD
WATSONVILLE, CA
95076-3099

Practice Phone: 831-786-9000
Practice Fax:

1699727206 — PAMELA WOLFE OT
Practice Location Address:

394 S GREEN VALLEY RD
WATSONVILLE, CA
95076-3099

Practice Phone: 831-786-9000
Practice Fax:

1083667323 — PLANNED PARENTHOOD MAR MONTE, INC
Practice Location Address:

398 S GREEN VALLEY RD
WATSONVILLE, CA
95076-3099

Practice Phone: 831-724-7525
Practice Fax: 831-724-7438

1972549442 — DR SYLVIA K LEE, OD, PHD
Practice Location Address:

386 S GREEN VALLEY RD , #2
WATSONVILLE, CA
95076-3099

Practice Phone: 831-674-1063
Practice Fax: 831-674-1067

Directions to “ DR. CORWYN ALFRED MOSIMAN O.D.” 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.