Individual
DR. PAYAL Y THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10002 SE 240TH ST, KENT, WA 98031-4839
(253) 852-2020
(253) 854-2020
Mailing address
10002 SE 240TH ST, KENT, WA 98031-4839
(253) 852-2020
(253) 854-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
008361
NY
152W00000X
Optometrist
Primary
OD60755848
WA
Other
Enumeration date
05/13/2014
Last updated
07/21/2022
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