Timothy P. Suorsa O.d.

NPI #1720275407 in Porterville, California

Provider Information

NPI Number: 1720275407
Entity Type: Organization
Organization Name: Timothy P. Suorsa O.d.
Primary Specialty: Optometrist
Enumeration Date: Sep 26, 2007
Last Updated: May 28, 2009

Practice Location

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

Authorized Official

Name: DR. TIMOTHY P. SUORSA, O. D
Title: OWNER
Phone: (559) 784-5127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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