Provider Demographics
NPI:1548303332
Name:NAKATSUCHI, DON (OD)
Entity type:Individual
Prefix:
First Name:DON
Middle Name:
Last Name:NAKATSUCHI
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 1:4901 N MESA ST
Mailing Address - Street 2:APT 4402
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5933
Mailing Address - Country:US
Mailing Address - Phone:832-693-6262
Mailing Address - Fax:
Practice Address - Street 1:6101 GATEWAY BLVD W
Practice Address - Street 2:OP06
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-3416
Practice Address - Country:US
Practice Address - Phone:915-275-1582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3511152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist