MEDICARE: MISS LISA CHOON HONG TSANG O.D.

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
1	152W00000X	Optometrist	13488	CA

General Provider Information

NPI Number	:	1952565582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS LISA CHOON HONG TSANG O.D.

Provider Business Mailing Address
First Line	:	1520 STOCKTON ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94133-3354
Country	:	US
Telephone Number	:	415-391-9686
Fax Number	:

Provider Business Practice Location Address
First Line	:	2574 SAN BRUNO AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94134-1505
Country	:	US
Telephone Number	:	415-391-9686
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2008
Last Update Date	:	01/26/2017

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