Chang, Tina Ting-Li

Chang, Tina Ting-Li is an sole proprietor health care provider with primary practice located at 596 Boar Cir , Fremont CA 94539-6042. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Chang, Tina Ting-Li can be contacted via phone (510) 579-6365.

Contact Information

Primary practice address
596 Boar Cir Fremont CA 94539-6042
Phone: (510) 579-6365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV007274 New York
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X OPT 13689 TPA California
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 1645 Arizona

Profile Details

NPI number 1427212497
LBN Legal business name Chang, Tina Ting-Li
Credentials O.D., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2008
Last updated Sep 22nd, 2009 - about 17 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 1427212497 NPPES
Arizona Other P982A CERTIFICATE OF SPECIAL QUALIFICATION

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