Chan, Tiffany Lauren

Chan, Tiffany Lauren is an individual health care provider with primary practice located at 360 Sierra College Dr Suite 100, Grass Valley CA 95945-5088. She recently has only one registered license in Eye and Vision Services Providers / Low Vision Rehabilitation, which is considered as her primary health care specialty. Chan, Tiffany Lauren can be contacted via phone (530) 273-3190.

Contact Information

Primary practice address
360 Sierra College Dr Suite 100 Grass Valley CA 95945-5088
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X TA2240 Maryland
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 14113 California

Profile Details

NPI number 1528374246
LBN Legal business name Chan, Tiffany Lauren
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2010
Last updated Mar 14th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528374246 NPPES
Maryland MEDICAID 044779000

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