Organization
JOANNA TAM OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNA TAM O.D (OWNER)
(317) 721-2154
Entity
Organization
Contact information
Practice address
5345 WINTHROP AVE, SUITE D, INDIANAPOLIS, IN 46220-3278
(317) 721-2154
Mailing address
5345 WINTHROP AVE, SUITE D, INDIANAPOLIS, IN 46220-3278
(317) 721-2154
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003550A
IN
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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