NPI 1164829131

Nisha Prakash, OD

Practitioner Optometrist Roanoke, VA

Practice location

Address: 1384 Towne Square Blvd NW, Roanoke, VA 24012-1611
Phone: (540) 278-2880
Mailing address: 5323 Mount View Rd, Antioch, TN 37013-2308

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODT3271 (TN)

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Registry record

NPI: 1164829131
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Nov 2014
Record last updated: 29 Feb 2016

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.