| NPI | 1598739302 |
|---|---|
| Former Name | THERESA SUZANNE ORENCHAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 07150T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OE005031T) |
| 152W00000X Optometrist (Licence: NJ 27OA00363700) | |
| 152W00000X Optometrist (Licence: FL OP 1421) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2011-08-22 |