Doctor Name: | DR. ANDREA KARIN PROSSER |
NPI Number: | 1275606568 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD32917 |
Business Practice Address: | 6104 Old Branch Avenue Temple Hills, MD - 207482518 |
Business Phone Number: | 3017026100 |
Business Fax Number: | 3017026366 |
Mailing Address: | 2101 East Jefferson Street, Kaiser Permanente Mid Atlantic Permanente Medical Group ROCKVILLE |
State: | MD |
Postal Code: | 208524908 |
Phone Number: | 3018166660 |
Fax Number: | 3018166308 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WP0200X |
License Number: | MD32917 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DC |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: | Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |