OPHTHALMOLOGY TRAINING CENTER (OTC) REGISTER LIST

DOKTER

No. Nama NIK Alamat No. Kontak e-Mail Asal Institusi Nama Program Tgl. Daftar Tgl. Bayar Tgl. Verif
61
Kahermasari
1408016101700003
Jalan raja Kecik komplek RSUD siak
081261260259
Kahermasari63@gmail.com
Rekonstruksi, Onkologi, dan Okuloplasti (6 bulan)
2021-10-25
62
Muhammad Valeri al Hakiim
3578020812830003
jalan jemursari timur V blok ji no 23
08123277937
val_exia00@yahoo.co.id
Rekonstruksi, Onkologi, dan Okuloplasti (6 bulan)
2022-01-11
63
Oktaria Widya Putri
3404025010880004
Jln. Godean KM 7 Perum Munggir 2 No.1, Sidoarum Godean Sleman Yogyakarta
08122693237
Ini.imelnya.ria@gmail.com
Rekonstruksi, Onkologi, dan Okuloplasti (6 bulan)
2023-07-28
64
Puty Lestari
3674065310860013
Jalan MH Thamrin No 15
081210222198
putylestari@gmail.com
Rekonstruksi, Onkologi, dan Okuloplasti (6 bulan)
2021-02-16
65
Serisa Irilla
3205026304860001
JL. Kompol Bambang Suprapto Purwokerto Ka. banyumas
081223444738
serisasei@gmail.com
Rekonstruksi, Onkologi, dan Okuloplasti (6 bulan)
2022-01-21
66
Serisa Irilla
3205026304860001
JL. Kompol Bambang Suprapto Purwokerto Ka. banyumas
081223444738
serisasei@gmail.com
Rekonstruksi, Onkologi, dan Okuloplasti (6 bulan)
2022-01-19
67
Serisa Irilla
3205026304860001
JL. Kompol Bambang Suprapto Purwokerto Ka. banyumas
081223444738
serisasei@gmail.com
Rekonstruksi, Onkologi, dan Okuloplasti (6 bulan)
2022-01-20
68
Amalia Ulfa
3578086206810001
Jl. Akademi Gg. Arridho, No. 5
081361355335
amel_81@ymail.com
Vitreoretina Medical & Surgical (12 bulan)
2020-08-05
69
Andrea Radotma Silitonga
Jl Sei Bertu No.33
082120866886
bungaj3ruk@gmail.com
Vitreoretina Medical & Surgical (12 bulan)
2019-10-15
70
Bobby Kristianto
3172023001910004
Jl Danau Indah 3 Blok A8 No.14 RT 007 RW 013 Sunter Jakarta Utara
082166221991
bobby.kristianto91@gmail.com
Vitreoretina Medical & Surgical (12 bulan)
2021-04-22
71
Frisma Sagara Brilliyanto
3578210611900001
jl.Dukuh Kupang 11/3
081230868622
frismamata16@gmail.com
Vitreoretina Medical & Surgical (12 bulan)
2020-05-09
72
Frisma Sagara Brilliyanto
3578210611900001
jl.Dukuh Kupang 11/3
081230868622
frismasagara@gmail.com
Vitreoretina Medical & Surgical (12 bulan)
2020-09-18
73
Frisma Sagara Brilliyanto
3578210611900001
jl.Dukuh Kupang 11/3
081230868622
frismasagara@gmail.com
Vitreoretina Medical & Surgical (12 bulan)
2020-09-17
74
Henry Santosa sungkono
5271020905800004
jl. cianjur no 9 BTN Taman Indah
081380875558
henry.sungkono@gmail.com
Vitreoretina Medical & Surgical (12 bulan)
2021-08-26
75
Idham Mustahid Arifin
3674032204850003
Regency Kuda Dua Blok C-4, Jagir Wonokromo
081703267525
idhamarifin@gmail.com
Vitreoretina Medical & Surgical (12 bulan)
2021-11-23
76
Jimmy Andre
3273070107900001
Jl terusan sutami 2 no 11 A
081910468242
jim_dre@yahoo.com
Vitreoretina Medical & Surgical (12 bulan)
2020-03-12
77
Matilda Susanto
Jl. Sang Timur B/3
082240010101
matilsusanto@gmail.com
Vitreoretina Medical & Surgical (12 bulan)
2022-07-15
78
Muhammad Rony
1174020901800002
PERUM TAMAN GURINDAM PERMAI BLOK K NO . 16
081391447313
roonozil19@gmail.com
Vitreoretina Medical & Surgical (12 bulan)
2020-12-29
79
Ni Putu Ngurah Sri Yuliastini SJ
5171015607870001
Jl Pulau Bangka
08115392338
dr.sriyuliastini@gmail.com
Vitreoretina Medical & Surgical (12 bulan)
2021-07-14
80
Nova Herdana
1671090406820005
Jl. A Yani no. 65 RT 3 Kelurahan Ngalau, Kecamatan Padang Panjang Timur
085267504946
novamata19@gmail.com
Vitreoretina Medical & Surgical (12 bulan)
2021-02-21
81
Oktaria Widya Putri
3404025010880004
Jl. Godean KM 7, Perum Munggur 2 No.1 Sidoarum, Godean
08122693237
oktariawidyap@gmail.com
Vitreoretina Medical & Surgical (12 bulan)
2021-06-23
82
Oktaria Widya Putri
3404025010880004
Jln. Godean KM 7 Perum Munggir 2 No.1, Sidoarum Godean Sleman Yogyakarta
08122693237
Ini.imelnya.ria@gmail.com
Vitreoretina Medical & Surgical (12 bulan)
2023-07-28
83
Risa Fatma Sauri Lubis
3271036804840004
Komp. Polri Pondok Karya Blok D No. 21. Mampang Prapatan.
081265562011
sauri_risa@yahoo.co.id
Vitreoretina Medical & Surgical (12 bulan)
2021-01-09
84
Risa Fatma Sauri Lubis
3271036804840004
Komp. Polri Pondok Karya Blok D No. 21. Mampang Prapatan.
081265562011
sauri_risa@yahoo.co.id
Vitreoretina Medical & Surgical (12 bulan)
2021-01-09
85
roza irawati
Perum cibubur country cluster cotton field 9 no.8 Cikeas, Gunung Putri
081363088065
rozairawati_dr@yahoo.com
Vitreoretina Medical & Surgical (12 bulan)
2019-10-08
86
Tri Subekti
Jl. PDAM NO.15
081223608087
triebektie@gmail.com
Vitreoretina Medical & Surgical (12 bulan)
2020-07-01
87
WIDI ASTUTI
3175016403830005
JL. PENGAYOMAN II NO.22 RT 008/RW 008, KEL. UTAN KAYU UTARA, KEC. MATRAMAN
0811845384
widi.kusdiono@gmail.com
Vitreoretina Medical & Surgical (12 bulan)
2021-01-12
88
Ameliza Kwartika
3404075310780007
Perum Asana Mutiara No. C7 Jl. Pangeran Wirosobo, Sorosutan, Umbulharjo
08163282564
amel.matagama@gmail.com
Vitreoretina Medical / Surgical (6 bulan)
2019-09-27
89
ANDI SURYANITA TAJUDDIN
7371015403840002
Jl. Cendrawasih IV No.67
085242630300
suryanita.tj@gmail.com
Vitreoretina Medical / Surgical (6 bulan)
2021-10-23
90
Andrea Radotma Silitonga
Jl Sei Bertu No.33
082120866886
bungaj3ruk@gmail.com
Vitreoretina Medical / Surgical (6 bulan)
2019-10-24