Doctor Name: | KEVIN CUTLER |
NPI Number: | 1013227776 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 2025 Soquel Avenue Santa Cruz, CA - 950621323 |
Business Phone Number: | 8314234111 |
Business Fax Number: | |
Mailing Address: | 2025 Soquel Avenue, SANTA CRUZ |
State: | CA |
Postal Code: | 950621323 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/15/2010 |
NPI Last Update Date: | 10/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |