Aleta B. Gong-Tang, Od, Pc in Phoenix - Sports Vision
Aleta B. Gong-Tang, Od, Pc - NPI 1235301896
Aleta B. Gong-Tang, Od, Pc is a Sports Vision in Phoenix, Arizona. Aleta B. Gong-Tang, Od, Pc practices all healthcare services and medical treatments related to Sports Vision. The NPI Number for Aleta B. Gong-Tang, Od, Pc is 1235301896. The last update date is 2008-03-24.
Aleta B. Gong-Tang, Od, Pc's current location address is 16020 N 35th Ave Ste 2, Phoenix, Arizona. You can contact this provider via phone number 6025473255 and fax number 6023759580. The mailing address for Aleta B. Gong-Tang, Od, Pc is 16020 N 35th Ave Ste 2, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Aleta B. Gong-Tang, Od, Pc |
|---|---|
| Address | 16020 N 35th Ave Ste 2, Phoenix, Arizona |
| Phone Number | 6025473255 |
| Fax Number | 6023759580 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Pratt Todd |
| Telephone Number | 6025473255 |
NPI Number Detail
| NPI Number | 1235301896 |
|---|---|
| Provider Enumeration Date | 2008-03-24 |
| Last Updated Date | 2008-03-24 |
Provider Mailing Address Detail
| Address | 16020 N 35th Ave Ste 2 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850533823 |
| Phone Number | 6025473255 |
| Fax Number | 6023759580 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Vision |
|---|---|
| Taxonomy | 152Ws0006X |
|
Definition: An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the preven |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z103102 | AZ | MEDICARE Z |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Aleta B. Gong-Tang, Od, Pc by the Centers for Medicare & Medicaid Services?
The Aleta B. Gong-Tang, Od, Pc has been issued the NPI (National Provider Identifier) 1235301896 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Aleta B. Gong-Tang, Od, Pc is geographically located?
The Aleta B. Gong-Tang, Od, Pc is physically situated at the following location: 16020 N 35Th Ave Ste 2, Phoenix, AZ, 850533823.
What is the Aleta B. Gong-Tang, Od, Pc's area of specialization and corresponding taxonomy classification?
The Aleta B. Gong-Tang, Od, Pc's specialty field is Sports Vision, and it falls under the taxonomy code 152Ws0006X, which categorizes healthcare providers based on their specialties.
On what date did the Aleta B. Gong-Tang, Od, Pc receive the assignment of its 1235301896 from the Centers for Medicare & Medicaid Services?
The Aleta B. Gong-Tang, Od, Pc was issued its 1235301896 by the Centers for Medicare & Medicaid Services on 2008-03-24.
As of what date were the details related to Aleta B. Gong-Tang, Od, Pc most recently updated or revised?
The information pertaining to Aleta B. Gong-Tang, Od, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-24.
NPI Number: 1942207287
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