Basic Information
| Provider Information | |||||||||
| NPI: | 1548579626 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PUREWAL | ||||||||
| FirstName: | NAVRIT | ||||||||
| MiddleName: | KAUR | ||||||||
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| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3661 TRUXEL RD | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958343617 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9169286097 | ||||||||
| FaxNumber: | 9164191196 | ||||||||
| Practice Location | |||||||||
| Address1: | 3661 TRUXEL RD | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958343617 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9169286097 | ||||||||
| FaxNumber: | 9164191196 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/06/2010 | ||||||||
| LastUpdateDate: | 09/30/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 14798TLG | CA | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.