Individual
DR. PUNAM S SIRASKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2819 DIXIE HWY, NEXT TO LENSCRAFTERS, CRESTVIEW HILLS, KY 41017
(859) 331-3124
(859) 331-4895
Mailing address
2819 DIXIE HWY, NEXT TO LENSCRAFTERS, CRESTVIEW HILLS, KY 41017
(589) 331-3124
(859) 331-4895
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1166
AZ
152W00000X
Optometrist
Primary
1912DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588877989
NPI
—
Enumeration date
05/08/2007
Last updated
07/21/2022
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