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NPI Code Detail

MEDICARE: AUDREY WINGHEI TAM OD

MEDICARE:   AUDREY WINGHEI TAM  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist36212CA

General Provider Information

NPI Number : 1518895994
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDREY WINGHEI TAM OD
Provider Business Mailing Address
First Line : 2106 NORTHSHORE DR
Second Line :
City : RICHMOND
State : CA
Zip : 94804-2541
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2106 NORTHSHORE DR
Second Line :
City : RICHMOND
State : CA
Zip : 94804-2541
Country : US
Telephone Number : 415-439-3155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/13/2026

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Directions to “ AUDREY WINGHEI TAM OD” Practice Location

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