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Organization
NEOVISION EYE CENTER A MEDICAL
Active
Organization
NEOVISION EYE CENTER A MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOBHA TANDON M.D. (OWNER)
(510) 431-5511
Entity
Organization
Contact information
Practice address
2 UNION SQ FL 1, UNION CITY, CA 94587-4495
(510) 431-5511
(510) 431-5513
Mailing address
2 UNION SQ FL 1, UNION CITY, CA 94587-4495
(510) 431-5511
(510) 431-5513
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A536430
MEDICARE PTAN FOR INDIVIDUAL PRVIDER
CA
Enumeration date
08/31/2006
Last updated
05/19/2019
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