Most Relevant Information
Provider Data
| NPI Number: | 1003578881 |
| Provider Name: | ALYSSA JAGDEO OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 2304 |
Most Important Dates
| Enumeration Date: | 10/09/2021 |
| Last Updated: | 10/15/2021 |
Provider Practice Location
7800 RIVERS AVE
NORTH CHARLESTON
SC
294064057
Practice Location Phone/Fax
| Phone: | 8435723404 |
| Fax: |
Provider Mailing Location
48 RICHGROVE DRIVE
BRAMPTON
ONTARIO
L6P1X6
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |