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Individual

DR. TIFFANY LAUREN CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
360 SIERRA COLLEGE DR, SUITE 100, GRASS VALLEY, CA 95945-5088
(530) 273-3190
Mailing address
360 SIERRA COLLEGE DR STE 100, GRASS VALLEY, CA 95945-5088
(530) 273-3190

Taxonomy

Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
14113
CA
152WL0500X
Low Vision Rehabilitation Optometrist
TA2240
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044779000
MD
05
1528374246
CA
Enumeration date
08/19/2010
Last updated
01/06/2026
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