NPI 1043535008

Premilla Banwait, OD

Practitioner Pediatric Optometrist Aurora, CO

Practice location

Address: 13123 E 16th Ave, Aurora, CO 80045-7106
Phone: (720) 777-1234
Mailing address: PO Box 110429, Aurora, CO 80042-0429

Registered specialties

Pediatric Optometrist Primary

Eye and Vision Services Providers Taxonomy 152WP0200X Licence 2805 (CO)

Other Optometrist providers in Colorado →

Registry record

NPI: 1043535008
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2010
Record last updated: 16 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.