Organization
TANGO VISION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS KON-WAI LEE OD (OWNER)
(415) 336-9328
Entity
Organization
Contact information
Practice address
215 BALSAM ST N, CAMBRIDGE, MN 55008-5814
(763) 689-3774
(763) 689-3792
Mailing address
778 PARKSIDE LN, COLUMBIA HEIGHTS, MN 55421-5001
(415) 336-9328
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3266
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3266
OPTOMETRY LICENSE
MN
Enumeration date
01/31/2013
Last updated
02/07/2019
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