DR. Nisha Prakash, O.D.

NPI #1164829131 in Roanoke, Virginia

Provider Information

NPI Number: 1164829131
Entity Type: Individual
Name: DR. Nisha Prakash, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 19, 2014
Last Updated: Feb 29, 2016

Practice Location

Address: 1384 TOWNE SQUARE BLVD NW
City: Roanoke
State: Virginia
ZIP Code: 24012-1611
Phone: (540) 278-2880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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