Provider Demographics
NPI:1548579626
Name:PUREWAL, NAVRIT KAUR (OD)
Entity Type:Individual
Prefix:
First Name:NAVRIT
Middle Name:KAUR
Last Name:PUREWAL
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 1:3661 TRUXEL RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-3617
Mailing Address - Country:US
Mailing Address - Phone:916-928-6097
Mailing Address - Fax:916-419-1196
Practice Address - Street 1:3661 TRUXEL RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-3617
Practice Address - Country:US
Practice Address - Phone:916-928-6097
Practice Address - Fax:916-419-1196
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14798TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist