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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEN YOSHIO TANISAWA, OD

Active

KEN YOSHIO TANISAWA, OD is a Optometrist healthcare provider located in BURLINGAME, California. NPI 1669579660 is currently active in the NPPES registry. Verify at CMS.

Optometrist · BURLINGAME, CA

Registration Details

NPI Number
1669579660
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2006 (19.881355357799 yrs)
Last Updated
Jul 8, 2007
License
5604TPA (CA)

Practice Information

Address
1419 BURLINGAME AVENUE
SUITE F
BURLINGAME, CA, 940104119
Browse CA providers · Browse ZIP 94010
Phone
6503427715
Fax
6503428182
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in BURLINGAME, CA

Name Credential NPI
DR. PAMELA J. FONG O.D. 1568469161
DR. LEONARD WONG MA O.D. 1427058684
DR. ANDREW SOSS O.D. 1609846807
DR. TETSUJI C KITA O.D. 1255366829
DR. JENNIFER SHIN-YING LO O.D. 1326158320
MR. DAVID A BREW O.D. 1528151503
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.