Timothy Suorsa Od

NPI #1225265382 in Porterville, California

Provider Information

NPI Number: 1225265382
Entity Type: Organization
Organization Name: Timothy Suorsa Od
Primary Specialty: Optometrist
Enumeration Date: Jun 16, 2009
Last Updated: Sep 2, 2010

Practice Location

Address: 524 W PUTNAM AVE
City: Porterville
State: California
ZIP Code: 93257-3274
Phone: (559) 784-5127

Authorized Official

Name: TIMOTHY P. SUORSA, OD
Title: CEO
Phone: (559) 784-5127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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