Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUPATRA LAKSANASUT, O.D.
ActiveDR. SUPATRA LAKSANASUT, O.D. is a Optometrist healthcare provider located in BRIDGETON, New Jersey. NPI 1568656056 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BRIDGETON, NJ
Registration Details
- NPI Number
- 1568656056
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2007 (18.94580761237 yrs)
- Last Updated
- Aug 28, 2007
- License
-
27OA00610200 (NJ)
Practice Information
- Address
-
1130 HIGHWAY 77BRIDGETON, NJ, 083025988Browse NJ providers · Browse ZIP 08302
- Phone
- 8564530418
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in BRIDGETON, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT M COLE III | OD | 1497741730 |
| DR. MICHAEL A FEINSTEIN | OD | 1417943754 |
| BRANDON JON WUZZARDO | OD | 1710310610 |
| DR. RUSSELL WAYNE CHAPPIUS III | OD | 1073124871 |
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.