Supatra Laksanasut in Bridgeton - Optometrist
Supatra Laksanasut - NPI 1568656056
Supatra Laksanasut is a Optometrist in Bridgeton, New Jersey. Supatra Laksanasut practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Supatra Laksanasut is 1568656056. The last update date is 2007-08-28.
Supatra Laksanasut's current location address is 1130 Highway 77, Bridgeton, New Jersey. You can contact this provider via phone number 8564530418. The mailing address for Supatra Laksanasut is 1130 Highway 77, Bridgeton, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Supatra Laksanasut |
|---|---|
| Address | 1130 Highway 77, Bridgeton, New Jersey |
| Phone Number | 8564530418 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1568656056 |
|---|---|
| Provider Enumeration Date | 2007-08-28 |
| Last Updated Date | 2007-08-28 |
Provider Mailing Address Detail
| Address | 1130 Highway 77 |
|---|---|
| City | Bridgeton |
| State | New Jersey (NJ) |
| Post Code | 83025988 |
| Phone Number | 8564530418 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 27OA00610200 |
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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 |
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What is the unique identification code assigned to Supatra Laksanasut by the Centers for Medicare & Medicaid Services?
The Supatra Laksanasut has been issued the NPI (National Provider Identifier) 1568656056. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Supatra Laksanasut?
The Supatra Laksanasut is physically situated at 1130 Highway 77, in the city of Bridgeton, state of NJ, with the postal code 83025988.
What is Supatra Laksanasut's specialized field of practice, and what is the corresponding taxonomy classification code?
The Supatra Laksanasut's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Supatra Laksanasut receive the assignment of its 1568656056 from the Centers for Medicare & Medicaid Services?
The Supatra Laksanasut was issued its 1568656056 by the Centers for Medicare & Medicaid Services on 2007-08-28.
When was the information pertaining to Supatra Laksanasut most recently updated or revised?
The details related to Supatra Laksanasut, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-28.
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