IndividualActive
Premilla Banwait, OD
NPI 1043535008 · Pediatric Optometrist · Aurora, CO
Provider details
- NPI number
- 1043535008
- Entity type
- Individual
- Primary specialty
- Pediatric OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 2805 (CO)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
13123 E 16th Ave
Aurora, CO 80045-7106
Phone: (720) 777-1234
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 110429
Aurora, CO 80042-0429
Registry dates
- Enumerated
- 2010-04-02
- Last updated
- 2012-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.