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TIENG TAN O.D. INC NPI 1952451015


NPI Information

NPI: 1952451015
Provider Name: TIENG TAN, O.D. INC

Doing Business As: ICU OPTOMETRY

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
220 W VALLEY BLVD
SUITE 202
SAN GABRIEL, CA
ZIP 91776
Phone: (626) 458-5393
Get Directions

TIENG TAN, O.D. INC is an optometrist in San Gabriel, CA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. TIENG TAN, O.D. INC NPI is 1952451015. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Icu Optometry.

The provider's business location address is:

220 W VALLEY BLVD
SUITE 202
SAN GABRIEL, CA
ZIP 91776-738
Phone: (626) 458-5393

The provider's authorized official is Tieng Meng Tan .
The authorized official title is President and has the following contact phone number (626) 458-5393.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 7/1/2014.


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
1152W00000XOptometristOPT 13131 TPACALIFORNIAYes

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
1BX180AMEDICARE 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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