Individual
CATHERINE Y. TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
235 N EL CAMINO REAL, ENCINITAS, CA 92024-2805
(760) 230-6678
(760) 230-6758
Mailing address
235 N EL CAMINO REAL, ENCINITAS, CA 92024-2805
(760) 230-6678
(760) 230-6758
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12696
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11803
MES VISION
CA
01
—
OP2483
EYEMED
CA
Enumeration date
03/07/2007
Last updated
10/07/2015
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