NPI 1194907618

Roonggan Klaisri Felce, OD

Practitioner Optometrist National City, CA

Practice location

Address: 1481 E Plaza Blvd, National City, CA 91950-3613
Phone: (619) 477-2159
Mailing address: 14966 Avenida Venusto Unit 72, San Diego, CA 92128-3848

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 13259T (CA)

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Registry record

NPI: 1194907618
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Nov 2007
Record last updated: 29 Nov 2021

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.