Individual
DR. PAUL A. TACHAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1409 LUISA ST, SUITE D, SANTA FE, NM 87505-7002
(505) 984-8989
(505) 984-8892
Mailing address
1409 LUISA ST, SUITE D, SANTA FE, NM 87505-7002
(505) 984-8989
(505) 984-8892
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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