NPI 1275216905

Emma Punsalan, OD

Practitioner Optometrist Waterford, CT

Practice location

Address: 131 Boston Post Rd, Waterford, CT 06385-2839
Phone: (850) 442-5058

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3003317 (CT)

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Registry record

NPI: 1275216905
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2023
Record last updated: 9 Aug 2023

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.