Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
INNA TATE
Active Sole ProprietorINNA TATE is a Optician, Dispensing healthcare provider located in SURPRISE, Arizona. NPI 1053105221 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · SURPRISE, AZ
Registration Details
- NPI Number
- 1053105221
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- Apr 4, 2025 (1.325946451398 yrs)
- Last Updated
- Apr 4, 2025
- License
-
LDO-002490 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13770 W BELL RDSURPRISE, AZ, 853743865Browse AZ providers · Browse ZIP 85374
- Phone
- 6235442255
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in SURPRISE, AZ
| Name | Credential | NPI |
|---|---|---|
| MARY ANN GROSS | — | 1720872914 |
| MEGAN RENAE LEON | LDO | 1033903919 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.