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TAHOE SIERRA EYE AND OPTICAL A MEDICAL CORPORATION NPI 1982736252


NPI Information

NPI: 1982736252
Provider Name: TAHOE SIERRA EYE AND OPTICAL, A MEDICAL CORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D2134451

Address:
10956 DONNER PASS RD
SUITE 120
TRUCKEE, CA
ZIP 96161
Phone: (530) 582-3666
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TAHOE SIERRA EYE AND OPTICAL, A MEDICAL CORPORATION is a specialist in Truckee, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TAHOE SIERRA EYE AND OPTICAL, A MEDICAL CORPORATION NPI is 1982736252. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10956 DONNER PASS RD
SUITE 120
TRUCKEE, CA
ZIP 96161-861
Phone: (530) 582-3666

The provider's authorized official is Nicole Renee Kurland .
The authorized official title is Office Manager and has the following contact phone number (530) 582-3666.

The CLIA number assigned to this NPI record is 05D2134451 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 10/29/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistC51920CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H26101MEDICARE UPINCALIFORNIA
25431070001MEDICARE NSCCALIFORNIA
3ZZZ03568ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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