Provider Demographics
NPI:1093918682
Name:CALDERWOOD, JAMES MELVIN (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MELVIN
Last Name:CALDERWOOD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:37753 PETERSON RD
Mailing Address - Street 2:
Mailing Address - City:AUBERRY
Mailing Address - State:CA
Mailing Address - Zip Code:93602-9502
Mailing Address - Country:US
Mailing Address - Phone:559-841-3708
Mailing Address - Fax:
Practice Address - Street 1:1000 COMMERCE AVE
Practice Address - Street 2:TARGET OPTICAL
Practice Address - City:ATWATER
Practice Address - State:CA
Practice Address - Zip Code:95301-5213
Practice Address - Country:US
Practice Address - Phone:209-356-1836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-09
Last Update Date:2009-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7150T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist