Priya Ruth Sundareson O.D.

NPI 1245381375 - Optometrist - 152W00000X

NPI Details
NPI 1245381375
Gender Female
Enumeration Date 01/16/2007
Last Updated 11/20/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
755 NW GILMAN BLVD
ISSAQUAH WA, 98027, US
Phone (909) 268-0607
Fax
Business Location
6200 188TH LN NE #A103
REDMOND WA, 98052, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 11958T
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According to our database, Priya Ruth Sundareson O.D. NPI is 1245381375, taxonomy code is 152W00000X and license number is 11958T, license state is located at California. Priya Ruth Sundareson O.D. physically located at 755 Nw Gilman Blvd, Issaquah WA, 98027. NPI Number Priya Ruth Sundareson O.D. has the Individual type.

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1245381375 NPI number is provided on an as is basis without warranty of any kind. 1245381375 is maintained by the National Plan & Provider Enumeration System. The contents of Priya Ruth Sundareson O.D. are for informational purposes only.