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NPI Code Detail

MEDICARE: TANG EYECARE INC

MEDICARE: TANG EYECARE INC
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
1152W00000XOptometristAK0223AK

General Provider Information

NPI Number : 1609003110
Entity Type Code : Organization
Provider Name (Legal Business Name) : TANG EYECARE INC
Provider Business Mailing Address
First Line : 8900 OLD SEWARD HWY
Second Line :
City : ANCHORAGE
State : AK
Zip : 99515-2022
Country : US
Telephone Number : 907-569-2030
Fax Number :
Provider Business Practice Location Address
First Line : 8900 OLD SEWARD HWY
Second Line :
City : ANCHORAGE
State : AK
Zip : 99515-2022
Country : US
Telephone Number : 907-569-2030
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. PATTIE S TANG
Credential : O.D.
Telephone Number : 907-250-3795
Provider Enumeration Date : 06/11/2009
Last Update Date : 06/11/2009

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Directions to “TANG EYECARE INC ” Practice Location

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