Provider Demographics
NPI:1831574730
Name:NAIDU, ARTIKA (OD)
Entity type:Individual
Prefix:
First Name:ARTIKA
Middle Name:
Last Name:NAIDU
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:PO BOX 111854
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98411-1854
Mailing Address - Country:US
Mailing Address - Phone:253-474-1884
Mailing Address - Fax:
Practice Address - Street 1:4502 SOUTH STEELE #700
Practice Address - Street 2:LOCATED INSIDE MACY'S LENSCRAFTERS
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409
Practice Address - Country:US
Practice Address - Phone:253-474-1884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-22
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD60618573152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist