Provider Demographics
NPI:1700693769
Name:CHEEMA, PUNEET KAUR (OD)
Entity type:Individual
Prefix:
First Name:PUNEET
Middle Name:KAUR
Last Name:CHEEMA
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 1:27 ADRIAN CRESCENT
Mailing Address - Street 2:
Mailing Address - City:BRAMPTON
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L6X 5M6
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:27 ADRIAN CRESCENT
Practice Address - Street 2:
Practice Address - City:BRAMPTON
Practice Address - State:ONTARIO
Practice Address - Zip Code:L6X 5M6
Practice Address - Country:CA
Practice Address - Phone:928-889-6234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11293T152W00000X
AZOPT-002845152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist