National Provider Identifier
Alyssa A Putman, O.D.
Alyssa A Putman, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Ithaca, NY and a listed phone number of (607) 257-2333.
Profile Overview
- NPI
- 1407108624
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- October 11, 2012
- Last Updated
- April 11, 2014
Practice Location
- 40 Catherwood RD
- Ithaca, NY 14850-1056
Phone: (607) 257-2333
Mailing Address
- 103 Test RD
- Apt 3
- Newfield, NY 14867
Specialties
- Optometrist (152W00000X)
- Optometrist (152W00000X)
Full Record
- NPI
- 1407108624
- Entity Type
- Individual
- Last Name
- Putman
- First Name
- Alyssa
- Middle Name
- A
- Name Prefix
- Dr.
- Credential
- O.D.
- Mailing Street Address
- 103 Test RD
- Mailing Address Line 2
- Apt 3
- Mailing City
- Newfield
- Mailing State
- NY
- Mailing ZIP Code
- 14867
- Mailing Country
- US
- Mailing Phone
- (607) 368-0529
- Practice Street Address
- 40 Catherwood RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1056
- Practice Country
- US
- Practice Phone
- (607) 257-2333
- Practice Fax
- (607) 257-1763
- Enumeration Date
- October 11, 2012
- Last Updated
- April 11, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X), Optometrist (152W00000X)