Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Supatra Laksanasut, OD

Individual provider Optometrist · NPI 1568656056

Dr. Supatra Laksanasut, OD is an Optometrist in Bridgeton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1130 Highway 77
Bridgeton, NJ 08302-5988
Phone: (856) 453-0418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 27OA00610200 (NJ)

Record details

NPI number1568656056
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 28, 2007
Last updated in NPPESAugust 28, 2007

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