DR. TAN-LONG PHAM


Address: 316 Del Prado Blvd S, Cape Coral, FL 33990-1710
Phone: 2392262640

DR. TAN-LONG PHAM (NPI# 1699766949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699766949
Entity Type Individual
Full Name DR. TAN-LONG PHAM
Credential MS, OD
Practice Address 316 Del Prado Blvd S
Cape Coral
FL 33990-1710
Mailing Address Po Box 919771
Orlando
FL 32891-9771
Practice Telephone 2392262640
Practice Fax Number 2394580178
Mailing Telephone 2392783600
Mailing Fax Number 2392264650
Enumeration Date 2005-11-03
Last Update Date 2020-09-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist OPC4085 FL Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 621103800 05
FL MEDICARE U7179W 01
FL FL LICENSE OPC 4085 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3415 Lee Blvd, Lehigh Acres, FL 339711576 2392262640 2394580178

Office Location

Street Address 316 DEL PRADO BLVD S
City CAPE CORAL
State FL
Zip Code 33990-1710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053930131 Yasmin Akhlaghi Student in an Organized Health Care Education/Training Program 316 Del Prado Blvd S, Cape Coral, FL 33990-1710 2020-04-09
1205321403 Matthew Williams Dentist 316 Del Prado Blvd S, Cape Coral, FL 33990-1710 2018-06-29
1497278857 Anusha Mittapalli Internal Medicine 316 Del Prado Blvd S, Cape Coral, FL 33990-1710 2017-07-18
1205295763 Ana Beyra Dentist 316 Del Prado Blvd S, Cape Coral, FL 33990-1710 2016-02-12
1548641814 Lora B Moak Dentist 316 Del Prado Blvd S, Cape Coral, FL 33990-1710 2015-06-12
1083026108 Divya Panneerselvam Pediatrics 316 Del Prado Blvd S, Cape Coral, FL 33990-1710 2014-05-22
1417377813 Family Health Centers of Southwest Florida, Inc. Pharmacy 316 Del Prado Blvd S, Cape Coral, FL 33990-1710 2014-04-24
1225467467 Shahzaib Mirza Pediatrics 316 Del Prado Blvd S, Cape Coral, FL 33990-1710 2013-11-07
1194151589 Karen De Souza Ferreira Hunt Family Medicine 316 Del Prado Blvd S, Cape Coral, FL 33990-1710 2013-09-18
1215377379 Sharmila Tilak Internal Medicine 316 Del Prado Blvd S, Cape Coral, FL 33990-1710 2013-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952902462 Shahida Rafiq Pharmacist 1619 Delprado Blvd, Cape Coral, FL 33990 2020-11-03
1386259208 Hope of Life Medical Supply Corp Durable Medical Equipment & Medical Supplies 2328 Hancock Bridge Pkwy 1st Fl Ste 114-e, Cape Coral, FL 33990 2020-09-09
1669001814 Jamie Lindon Kohl Specialist/Technologist 605 Se 13th Ct, Cape Coral, FL 33990 2020-04-08
1548809551 Medical Risk Solutions Family Medicine 1020 Cultural Park Blvd, Cottage #7, Cape Coral, FL 33990 2019-12-23
1013495175 Sunshine Assisted Living Home Care Facility. Assisted Living Facility 1422 Se 23rd Ter., Crape Coral, FL 33990 2018-08-01
1215429279 Five Star Homecare LLC Adult Companion 629 Se 10th Pl, Cape Coral, FL 33990 2018-06-05
1730679192 Amanda Tiana Bright Developmental Therapist 1507 Se 18th St, Cape Coral, FL 33990 2018-05-11
1487170908 Natalie Diaz Behavior Technician 317 Se 16th Place, Cape Coral, FL 33990 2017-08-16
1679097273 Centro Medico LLC Clinic/Center 1425 Viscaya Pkwy Ste 101, Cape Coral, FL 33990 2017-07-26
1629506308 Besties LLC Adult Companion 518 Se 20th Ct, Cape Coral, FL 33990 2017-05-25
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306465984 Eye Health of Ft Myers LLC Optometrist 112 Del Prado Blvd N, Cape Coral, FL 33909-2702 2020-04-13
1265099154 Elena Lopez Chan Optometrist 706 Sw Pine Island Rd Unit 102, Cape Coral, FL 33991-2053 2019-05-26
1538415054 Doctor Smith Eye Care Pa Optometrist 1104 Ne 2nd Ter, Cape Coral, FL 33909-2655 2012-08-02
1285947747 Lauren Ashley Walsh Optometrist 922 Se 35th St, Cape Coral, FL 33904-4779 2010-07-26
1316110224 Robert L Underberg Jr Optometrist 1918 Del Prado Blvd, Suite 8, Cape Coral, FL 33990 2008-04-11
1407973175 Tammy Johnson Optometrist 3515 Del Prado Blvd S Unit 4, Cape Coral, FL 33904 2007-03-26
1013063171 Melissa Sue Green Optometrist 614 Se 33rd St, Cape Coral, FL 33904-4158 2007-01-25
1790840676 One Price Optical Optometrist 325 North Del Prado, Cape Coral, FL 33909 2006-12-22
1639232762 Rodney J Smith Optometrist 1890 Ne Pine Island Rd, Doctor Smith Eye Care (inside Target Optical), Cape Coral, FL 33909-1733 2006-12-19
1104992585 Gerald A Cowan Optometrist 301 Sw Pine Island Rd, Cape Coral, FL 33991-2043 2006-11-28
Find all providers in CAPE CORAL

Competitor

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City CAPE CORAL
Zip Code 33990

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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