Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Robert Benjamin Widerspan, OD

Individual provider Optometrist · NPI 1295944452

Dr. Robert Benjamin Widerspan, OD is an Optometrist in Santa Cruz, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4015 Capitola Rd
Santa Cruz, CA 95062
Phone: (831) 475-8639
Fax: (831) 464-1075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 8047T (CA)

Record details

NPI number1295944452
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 22, 2007
Last updated in NPPESApril 24, 2012

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