DR. CHARLES REEVES WYATT (NPI# 1942357108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942357108 |
| Entity Type | Individual |
| Full Name | DR. CHARLES REEVES WYATT |
| Credential | O.D. |
| Practice Address |
5755 Cottle Rd San Jose CA 95123-3640 |
| Practice Telephone | 4089723413 |
| Practice Fax Number | 4089723592 |
| Mailing Telephone | 4089723413 |
| Mailing Fax Number | 4089723592 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4913T | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992863567 | Charles Wyatt | Dentist | 1201 Airport Fwy, Suite 299, Euless, TX 76040-4177 | 2006-12-05 |
| 1124071378 | Charles L. Wyatt | Counselor | 478 Gregory Rd, Franklin, NC 28734-7136 | 2006-05-18 |
| 1063481018 | Charles Manson Wyatt | Physician Assistant | M-48611 Logistics Ave, Joel Health Clinic, Fort Bragg, NC 28310-0001 | 2006-03-14 |
| 1740287630 | Charles Handfield Wyatt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5147 N 9th Ave Ste 318, Pensacola, FL 32504-8710 | 2005-07-07 |
| 1700125820 | Charles Edward Wyatt Jr. | Kinesiotherapist | 3701 Loop Rd, Tuscaloosa Vamc, Tuscaloosa, AL 35404-5015 | 2013-02-08 |
| 1588811756 | Charles Welton Wyatt | Nurse Practitioner | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2008-08-19 |
| Street Address |
5755 COTTLE RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-3640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144205238 | Jazmine H Jung | Genetic Counselor, MS | 5755 Cottle Rd, Bldg #1, San Jose, CA 95123-3640 | 2005-12-12 |
| 1891240016 | Priyanka Murali | Genetic Counselor, MS | 5755 Cottle Rd, San Jose Genetics Dept Cottle Road, Building 1, San Jose, CA 95123-3640 | 2016-08-17 |
| 1407208226 | Swetha Vajapey | Psychologist | 5755 Cottle Rd, Building #4, San Jose, CA 95123-3640 | 2016-07-05 |
| 1134588163 | Gina Liu | Genetic Counselor, MS | 5755 Cottle Rd, Building 1, San Jose, CA 95123-3640 | 2016-02-18 |
| 1649651480 | Natalie Geeter | Genetic Counselor, MS | 5755 Cottle Rd, San Jose, CA 95123-3640 | 2015-06-17 |
| 1164869772 | Holly Erin Carwana | Genetic Counselor, MS | 5755 Cottle Rd, Building 1, San Jose, CA 95123-3640 | 2013-05-23 |
| 1043655640 | Jianbo James Song | Medical Genetics | 5755 Cottle Rd, Building 2 Genetics, San Jose, CA 95123-3640 | 2013-05-08 |
| 1982942454 | Lauren Shelly | Psychologist | 5755 Cottle Rd, Building 4, San Jose, CA 95123-3640 | 2013-01-17 |
| 1386924223 | Karen Holbrook | Genetic Counselor, MS | 5755 Cottle Rd, Bldg 1, San Jose, CA 95123-3640 | 2011-08-24 |
| 1033411434 | Melissa Emmert | Psychologist | 5755 Cottle Rd, Building 4, San Jose, CA 95123-3640 | 2010-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
| 1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
| 1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
| 1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
| 1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
| 1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
| 1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
| Find all providers in zip 95123 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639796998 | Jamie Ann Ngo | Optometrist | 1141 Di Napoli Dr, San Jose, CA 95129-4014 | 2020-07-02 |
| 1104319185 | Hien Anh Nguyen | Optometrist | 1055 E Brokaw Rd Ste 50, San Jose, CA 95131-2318 | 2018-06-13 |
| 1285121723 | Mai-anh Chtn Nguyen, O.d., Inc | Optometrist | 1661 Burdette Dr Ste H, San Jose, CA 95121-1681 | 2018-04-19 |
| 1407367923 | Justina Cho | Optometrist | 2272 Hendy Ln, San Jose, CA 95124-4415 | 2017-10-24 |
| 1326562794 | Melissa Lau | Optometrist | 1183 S De Anza Blvd Ste 50, San Jose, CA 95129-3659 | 2017-07-27 |
| 1447789623 | San Jose Eye Care Optometry Professional Corporation | Optometrist | 301 N. Jackson Ave #1, San Jose, CA 95133 | 2017-06-09 |
| 1508304080 | Anjie Angela Zheng | Optometrist | 2110 Forest Ave Ste B, San Jose, CA 95128-1469 | 2017-02-06 |
| 1427592773 | Yunwei Chang | Optometrist | 3845 Evangelho Cir, San Jose, CA 95148-4374 | 2016-12-06 |
| 1598118325 | Han Duong Optometry, Inc | Optometrist | 630 Blossom Hill Rd Ste 20, San Jose, CA 95123-3056 | 2016-07-17 |
| 1457705808 | Dzuy V Bi | Optometrist | 2670 S White Rd Ste 200, San Jose, CA 95148 | 2016-04-21 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.