Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALWIN EDAKKUNNATHU, O.D.
ActiveALWIN EDAKKUNNATHU, O.D. is a Optometrist healthcare provider located in GLENDALE, Wisconsin. NPI 1467899609 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GLENDALE, WI
Registration Details
- NPI Number
- 1467899609
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2013 (13.235851608579 yrs)
- Last Updated
- Apr 17, 2021
- License
-
3300-35 (WI)
Practice Information
- Address
-
5150 N PORT WASHINGTON RD STE 251GLENDALE, WI, 532175477Browse WI providers · Browse ZIP 53217
- Phone
- 4143320606
- Fax
- 4149673604
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in GLENDALE, WI
| Name | Credential | NPI |
|---|---|---|
| DR. LAWRENCE W SMITH | OD | 1609828581 |
| DR. CHRISTINA MARIE PETROU | O.D. | 1912945338 |
| ELLEN PATRICIA RINGLE | OD | 1477049443 |
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.