Dr. Tara Vacharkulksemsuk is a Lake Elsinore, California based female Optometrist who is specialized in Optometry. Active license number of Dr. Tara Vacharkulksemsuk is 13949 for Optometry in California. Dr. Tara Vacharkulksemsuk examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Tara Vacharkulksemsuk speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Female
Practice Address:
32245 Mission Trl Ste D4, Lake Elsinore, California, 92530-4528
Phone:
951-674-1561
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1588977938
NPI Enumeration Date:
14 Jul, 2010
NPI Last Update On:
30 Nov, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Tara Vacharkulksemsuk are as mentioned below.
License Number
Specialization
State
Status
13949
Optometry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Tara Vacharkulksemsuk such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
112409104
Medicaid
Texas
283028301
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
32245 Mission Trl Ste D4, Lake Elsinore, California
Zip:
92530-4528
Phone Number:
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Fax Number:
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Patients can reach Dr. Tara Vacharkulksemsuk at 32245 Mission Trl Ste D4, Lake Elsinore, California or can call to book an appointment on 951-674-1561. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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