MISS LISA MODESTO, O.D.
Optometrist
Active
Individual
NPI: 1598879637
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | TUV007078 (NY) |
Frequently Asked Questions
NPI 1598879637 is the National Provider Identifier for MISS LISA MODESTO, O.D., a Optometrist provider located in Forest Hills, NY. This NPI was enumerated on August 18, 2006.
MISS LISA MODESTO, O.D. practices at 10933 71ST RD, SUITE 2 C, Forest Hills, NY 11375.
Quick Facts
- NPI
- 1598879637
- Type
- Individual
- Enumerated
- Aug 18, 2006
- Last Updated
- Feb 27, 2008
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