Individual
MRS. TIFFANY MATHAS CHAMBERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10138T
TX
152W00000X
Optometrist
OET008883
PA
152W00000X
Optometrist
OPC3721
FL
152WC0802X
Corneal and Contact Management Optometrist
OET008883
PA
Other
Enumeration date
01/24/2007
Last updated
04/13/2024
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