| NPI | 1124910856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRADEEP S. PRASAD Partner 800-841-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-17 |