Provider Demographics
NPI:1922071661
Name:SCHWERTSCHARF, WILLIAM E (OD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:SCHWERTSCHARF
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1030 COUNTRY CLUB DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:MORAGA
Mailing Address - State:CA
Mailing Address - Zip Code:94556
Mailing Address - Country:US
Mailing Address - Phone:925-376-2020
Mailing Address - Fax:925-376-2446
Practice Address - Street 1:1030 COUNTRY CLUB DR
Practice Address - Street 2:SUITE A
Practice Address - City:MORAGA
Practice Address - State:CA
Practice Address - Zip Code:94556
Practice Address - Country:US
Practice Address - Phone:925-376-2020
Practice Address - Fax:925-376-2446
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6110T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0061100Medicare ID - Type Unspecified
U27662Medicare UPIN