Individual
TARA LYNN KAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
740 W HAMILTON ST STE 100, ALLENTOWN, PA 18101-2425
(610) 434-1000
(610) 434-9592
Mailing address
939 HAMILTON ST, ALLENTOWN, PA 18101-1127
(610) 434-1000
(610) 434-9592
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002921
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103131626-0001
—
PA
01
—
643210142
MEDICARE DCN/CCN
PA
Enumeration date
06/29/2014
Last updated
08/24/2021
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