Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIFFANY KOON, O.D.
ActiveTIFFANY KOON, O.D. is a Optometrist healthcare provider located in GAMBRILLS, Maryland. NPI 1760820054 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GAMBRILLS, MD
Registration Details
- NPI Number
- 1760820054
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2013 (13.183277084863 yrs)
- Last Updated
- Aug 12, 2019
- Licenses
-
TUV007964-1 (NY)TA2446 (MD)
Practice Information
- Address
-
1127 MD RT 3 N # 104GAMBRILLS, MD, 210541715Browse MD providers · Browse ZIP 21054
- Phone
- 4109882662
- Fax
- 4109884553
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in GAMBRILLS, MD
| Name | Credential | NPI |
|---|---|---|
| MICHELLE ANN MAY | O.D. | 1669761649 |
| NISHITH G PATEL | OD | 1326327487 |
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.