Dr. Ivan Tseng, O.D.
Optometrist in Ridgewood, NJ. Individual provider (NPI-1).
NPI number1083094635
StatusActive
Last updated in NPPESOct 19, 2022
Details
- NPI
- 1083094635
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ivan Tseng
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2015
- Certification date
- Oct 19, 2022
- Last updated
- Oct 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 27OA00669100 | NJ | Yes |
| 152W00000X | Optometrist | 27OM00136800 | NJ | |
| 152W00000X | Optometrist | TUV008161-1 | NY |
Practice location
1200 E Ridgewood Ave Ste 213Ridgewood, NJ 07450-3937
Phone 201-612-0044
Mailing address
431 Westview PlFort Lee, NJ 07024-3916
Phone 201-966-4272
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