Provider Demographics
NPI:1073706529
Name:SOKOL, TESSA LYNN (OD)
Entity Type:Individual
Prefix:DR
First Name:TESSA
Middle Name:LYNN
Last Name:SOKOL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 ATWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-5325
Mailing Address - Country:US
Mailing Address - Phone:608-473-5947
Mailing Address - Fax:
Practice Address - Street 1:2000 ATWOOD AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-5325
Practice Address - Country:US
Practice Address - Phone:608-473-5947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-18
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT002414152W00000X
WI3089152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist