Tiffany Angie Kwon, O.D.
Optometrist in Charlottesville, VA. Individual provider (NPI-1).
NPI number1760611362
StatusActive
Last updated in NPPESJan 17, 2017
Details
- NPI
- 1760611362
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Angie Kwon
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2009
- Last updated
- Jan 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | TUV007421-1 | NY | Yes |
| 152W00000X | Optometrist | 0618002533 | VA |
Other names
- Tiffany Angie Lau (Former Name)
Practice location
2014 Calvary Cir Apt 201Charlottesville, VA 22911-8469
Phone 909-569-9290
Mailing address
2014 Calvary Cir Apt 201Charlottesville, VA 22911-8469
Phone 909-569-9290
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All 58 Optometrist providers in Charlottesville · All 7,958 providers in Charlottesville
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