# DR. PAMELA ELAINE THERIOT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194823336
- **Gender:** F
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 12195T | CA | — |
| 152W00000X | Optometrist | 1592 | AZ | — |
| 152W00000X | Optometrist | 1805-739 | LA | Yes |
| 152W00000X | Optometrist | 551 | NM | — |
| 152W00000X | Optometrist | 6697T | TX | — |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 07/26/2023