Individual
INDERPREET KAUR DATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001963
VA
152WC0802X
Corneal and Contact Management Optometrist
0618001963
VA
152WP0200X
Pediatric Optometrist
0618001963
VA
152WV0400X
Vision Therapy Optometrist
0618001963
VA
Other
Enumeration date
07/16/2010
Last updated
05/18/2021
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