Individual
DR. PAUL A. TACHAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
325
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM01P398
BLUE CROSS BLUE SHIELD
NM
01
—
201009816
PRESBYTERIAN
NM
01
—
201009817
PRESBYTERIAN
NM
01
—
9921367
CIGNA
NM
01
—
NM01P505
BLUE CROSS BLUE SHIELD
NM
Enumeration date
08/18/2006
Last updated
10/01/2013
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