SAIDIVYA KOMMA

GREENSBORO, NC
NPI1447888979
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: NC  2643)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-30
Last Update Date2023-08-11
Business Address
SAIDIVYA KOMMA OD
1323 NEW GARDEN RD
GREENSBORO, NC 27410-2722
Phone number: 336-292-4516
Mailing Address
SAIDIVYA KOMMA OD
2415 REGENTS PARK LN
GREENSBORO, NC 27455-1177
Phone number: 336-809-3425