Tan, Connie
Tan, Connie is an individual health care provider with primary practice located at 477 N El Camino Real Ste C202 , Encinitas CA 92024-1332. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Tan, Connie can be contacted via phone (760) 631-3500.Contact Information
Primary practice address
477 N El Camino Real Ste C202
Encinitas CA 92024-1332
Phone: (760) 631-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 08446 | New York |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 33425 | California |
Profile Details
| NPI number | 1609227222 |
|---|---|
| LBN Legal business name | Tan, Connie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2016 |
| Last updated | Jul 15th, 2020 - about 6 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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