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DR. ROBERT BENJAMIN WIDERSPAN OD
NPI 1295944452
Optometrist in Santa Cruz, CA

Active since May 22, 2007
4015 CAPITOLA RD, SANTA CRUZ, CA 95062(831) 475-8639(831) 464-1075 Get Directions Write a Review

NPPES record last updated: April 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Benjamin Widerspan Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT BENJAMIN WIDERSPAN OD (NPI 1295944452) is an individual optometrist in Santa Cruz, California, licensed in California (8047T) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1295944452
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROBERT BENJAMIN WIDERSPANCredential: OD
Location Address4015 CAPITOLA RDSanta Cruz, CA 95062
Mailing Address4015 Capitola RdSanta Cruz, CA 95062 · (831) 475-8639 · Fax (831) 464-1075
Phone(831) 475-8639
Fax(831) 464-1075
Sole ProprietorYes
Enumeration DateMay 22, 2007
Last NPPES UpdateApril 24, 2012
✔ NPI 1295944452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 8047T
Definition
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.
4015 CAPITOLA RD, Santa Cruz, CA 95062
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Other Identifiers 2

Medicare ID-Type UnspecifiedSD0080470
Medicare UPINT10639

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUXOTTICA RETAIL NORTH AMERICA INC
Eyewear Supplier
4015 CAPITOLA RD
SANTA CRUZ, CA 95062
Santa Cruz County (831) 475-8639
ARAM RAHIMIMANESH
Optometrist
4015 CAPITOLA RD
SANTA CRUZ, CA 95062
Santa Cruz County (408) 499-2215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Widerspan's NPI number?

The NPI number for Robert Widerspan is 1295944452. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Robert Widerspan located?

Robert Widerspan practices at 4015 Capitola Rd, Santa Cruz, CA 95062. The listed phone number is (831) 475-8639.

What is Robert Widerspan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Robert Widerspan was last updated on April 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.