Healthcare Provider Details

I. General information

NPI: 1316591720
Provider Name (Legal Business Name): CATHERINE JOAN TSANG OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2019
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7084 LAKELAND HILLS WAY SE STE 101
AUBURN WA
98092-8439
US

IV. Provider business mailing address

1145 NW GILMAN BLVD STE G12
ISSAQUAH WA
98027-8932
US

V. Phone/Fax

Practice location:
  • Phone: 253-351-0092
  • Fax: 253-351-0094
Mailing address:
  • Phone: 425-391-9331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number61100148
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: