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SUSAN MARIE ROBERTS TENOLD MD NPI 1225004278


NPI Information

NPI: 1225004278
Provider Name: SUSAN MARIE ROBERTS TENOLD, MD
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
3200 MAIN ST
VANCOUVER, WA
ZIP 98663
Phone: (360) 696-4691
Get Directions

Susan Marie Roberts Tenold, MD is an ophthalmology in Vancouver, WA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Susan Marie Roberts Tenold, MD NPI is 1225004278. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3200 MAIN ST
VANCOUVER, WA
ZIP 98663
Phone: (360) 696-4691
Fax: (360) 823-2260

The enumeration date for this NPI number is 2/28/2006 and was last updated on 3/7/2023.


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
1207W00000XOphthalmologyMD00020750WASHINGTONYes
2207W00000XOphthalmologyMD12382OREGONNo

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
18458903MEDICAIDWASHINGTON

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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