Individual provider · Type 1 NPI
Alisa Thavikulwat
Ophthalmology Physician · Glenn Dale, MD
Practice location
12150 Annapolis Rd Ste 111
Glenn Dale, MD 20769-9183
Mailing address
1855 W Taylor St, Department Of Ophthalmology
Chicago, IL 60612-7242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician Primary | 207W00000X | D0087217 (MD) |
Ophthalmology Physician: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services,…
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About NPI 1265827745
Alisa Thavikulwat's National Provider Identifier is 1265827745, issued on Apr 1, 2015. The primary taxonomy on file is Ophthalmology Physician (207W00000X), and the practice location is in Glenn Dale, MD. The record was last updated on Sep 24, 2020.