National Provider Identifier
Antoniette Thavarajah, OD
Antoniette Thavarajah, OD is listed in the NPPES registry with a primary specialty of Optometrist in Tonawanda, NY and a listed phone number of (716) 834-6000.
Profile Overview
- NPI
- 1689343477
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- September 07, 2021
- Last Updated
- September 07, 2021
Practice Location
- 2810 Sheridan Dr
- Tonawanda, NY 14150-9419
Phone: (716) 834-6000
Mailing Address
- 6 Pebblestone Circle
- Brampton, Ontario 643
- CA
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1689343477
- Entity Type
- Individual
- Last Name
- Thavarajah
- First Name
- Antoniette
- Name Prefix
- Dr.
- Credential
- OD
- Mailing Street Address
- 6 Pebblestone Circle
- Mailing City
- Brampton
- Mailing State
- Ontario
- Mailing ZIP Code
- 643
- Mailing Country
- CA
- Practice Street Address
- 2810 Sheridan Dr
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-9419
- Practice Country
- US
- Practice Phone
- (716) 834-6000
- Enumeration Date
- September 07, 2021
- Last Updated
- September 07, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 24, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)