Provider Demographics
NPI:1386261964
Name:AULAKH, HARJAS S (OD)
Entity type:Individual
Prefix:
First Name:HARJAS
Middle Name:S
Last Name:AULAKH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3549 SILVERSIDE RD # E403
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4922
Mailing Address - Country:US
Mailing Address - Phone:724-579-6134
Mailing Address - Fax:
Practice Address - Street 1:5004 141 AVENUE NW
Practice Address - Street 2:
Practice Address - City:EDMONTON
Practice Address - State:ALBERTA
Practice Address - Zip Code:T5A4R5
Practice Address - Country:CA
Practice Address - Phone:780-220-3530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTPOP104152W00000X
NYTUV009690152W00000X
PAOEG003704152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist