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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | OPC4085 | FL | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 621103800 | 05 | |
FL | MEDICARE | U7179W | 01 |
FL | FL LICENSE | OPC 4085 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
3415 Lee Blvd, Lehigh Acres, FL 339711576 | 2392262640 | 2394580178 |
Street Address |
316 DEL PRADO BLVD S |
City | CAPE CORAL |
State | FL |
Zip Code | 33990-1710 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 33990 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
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] |
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 |
City | CAPE CORAL |
Zip Code | 33990 |
Please comment or provide details below to improve the information on DR. TAN-LONG PHAM.
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.