Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALLEN PANASUK, OD
Active Sole ProprietorOptometrist · PORT LUDLOW, WA
Registration Details
- NPI Number
- 1326263609
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2007 (19.084980522608 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1173TX (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30 RAEBURN CTPORT LUDLOW, WA, 983659796Browse WA providers · Browse ZIP 98365
- Phone
- 3604375128
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.