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Robert Widerspan, OD
NPI 1295944452 · Optometrist · Santa Cruz, CA
Robert Widerspan, OD is a Optometrist provider in Santa Cruz, CA (NPI 1295944452).
Provider details
- NPI number
- 1295944452
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8047T (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4015 Capitola Rd
Santa Cruz, CA 95062
Phone: (831) 475-8639
Fax: (831) 464-1075
Street-level locationGet directions
Mailing address
4015 Capitola Rd
Santa Cruz, CA 95062
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2012-04-24
Frequently asked questions
- What is Robert Widerspan's NPI number?
- Robert Widerspan's National Provider Identifier (NPI) is 1295944452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Widerspan's specialty?
- Robert Widerspan is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Robert Widerspan located?
- Robert Widerspan's practice location on file with NPPES is 4015 Capitola Rd, Santa Cruz, CA 95062.
- What is Robert Widerspan's phone number?
- The practice phone number listed in the NPPES registry for Robert Widerspan is (831) 475-8639.
- Is Robert Widerspan's NPI active?
- Yes — Robert Widerspan's NPI (1295944452) is active in the NPPES registry as of the last update on 2012-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.