Jolly Mamauag (NPI# 1255743753, PAC ID# 4880810688) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1255743753 |
| PAC ID by PECOS | 4880810688 |
| Professional Enrollment ID | I20140731001767 |
| Full Name | Jolly Mamauag |
| Organization Legal Name | TIMOTHY SUORSA OD |
| Address |
524 W Putnam Ave Porterville CA 93267-3274 |
| Phone Number | 5597845127 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0446304877 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 524 W Putnam Ave, Porterville, CA 93267-3274 | 5597845127 | TIMOTHY SUORSA OD |
| Organization Legal Name | TIMOTHY SUORSA OD |
| Physicians | 1 |
| Street Address |
524 W PUTNAM AVE |
| City | PORTERVILLE |
| State | CA |
| Zip | 93267-3274 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy P Suorsa | Optometry | 524 W Putnam Ave, Porterville, CA 93267-3274 |
| City | PORTERVILLE |
| Zip Code | 93267 |
| Specialty | OPTOMETRY |
| City + Specialty | PORTERVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Jolly Mamauag.
| 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.