Provider Demographics
NPI:1730130964
Name:PRASEUTH, CHERI MEI LI (OD)
Entity Type:Individual
Prefix:DR
First Name:CHERI
Middle Name:MEI LI
Last Name:PRASEUTH
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 1:187 AMERICA BLVD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-1869
Mailing Address - Country:US
Mailing Address - Phone:508-970-5893
Mailing Address - Fax:508-393-3314
Practice Address - Street 1:6102 SHOPS WAY
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-3301
Practice Address - Country:US
Practice Address - Phone:508-970-5893
Practice Address - Fax:508-393-3314
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4434152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW17569Medicare ID - Type Unspecified
V03559Medicare UPIN