Provider Demographics
NPI:1215137856
Name:PIERRE, LAROUSHNA (OD)
Entity type:Individual
Prefix:DR
First Name:LAROUSHNA
Middle Name:
Last Name:PIERRE
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 1:1186 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON UPPER FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:02464-1309
Mailing Address - Country:US
Mailing Address - Phone:914-621-2201
Mailing Address - Fax:914-621-2201
Practice Address - Street 1:88 NEEDHAM ST
Practice Address - Street 2:
Practice Address - City:NEWTON HIGHLANDS
Practice Address - State:MA
Practice Address - Zip Code:02461
Practice Address - Country:US
Practice Address - Phone:617-928-0770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007175152W00000X
MA4669152W00000X
AZ1781152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist