Timothy P Suorsa (NPI# 1497824478, PAC ID# 1850283227) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1497824478 |
PAC ID by PECOS | 1850283227 |
Professional Enrollment ID | I20051212000881 |
Full Name | Timothy P Suorsa |
Address |
524 W Putnam Ave Porterville CA 93267-3274 |
Gender | M |
Credential | OD |
Medical School | UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY |
Graduation Year | 1997 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
524 W Putnam Ave, Porterville, CA 93267-3274 |
Street Address |
524 W PUTNAM AVE |
City | PORTERVILLE |
State | CA |
Zip | 93267-3274 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jolly Mamauag | Optometry | Timothy Suorsa Od | 524 W Putnam Ave, Porterville, CA 93267-3274 |
City | PORTERVILLE |
Zip Code | 93267 |
Specialty | OPTOMETRY |
City + Specialty | PORTERVILLE + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.