Nguyet Thai Lesoltis, OD | |
1815 Massachusetts Ave Ste 117b, Cambridge, MA 02140-1430 | |
(857) 600-0701 | |
(617) 453-9369 |
Full Name | Nguyet Thai Lesoltis |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1815 Massachusetts Ave Ste 117b, Cambridge, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407316102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 008854 (New York) | Secondary |
152W00000X | Optometrist | 5336 (Massachusetts) | Primary |
Provider Name | David M Luria Od Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659584027 PECOS PAC ID: 5193815249 Enrollment ID: O20071213000397 |
Mailing Address | Practice Location Address |
---|---|
Nguyet Thai Lesoltis, OD 1815 Massachusetts Ave Ste 117b, Cambridge, MA 02140-1430 Ph: (857) 600-0701 | Nguyet Thai Lesoltis, OD 1815 Massachusetts Ave Ste 117b, Cambridge, MA 02140-1430 Ph: (857) 600-0701 |
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