Aleta B. Gong-Tang, Od, Pc
LBN: Aleta B. Gong-Tang, Od, Pc
Aleta B. Gong-Tang, Od, Pc is an health care organization with primary practice located at 16020 N 35Th Ave Ste 2 , Phoenix AZ 85053-3823. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Aleta B. Gong-Tang, Od, Pc can be contacted via phone (602) 547-3255, or through Pratt, Todd via phone (602) 547-3255.
Contact Information
Primary practice address
16020 N 35Th Ave Ste 2
Phoenix AZ 85053-3823
Phone: (602) 547-3255
Fax: (602) 375-9580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | ||
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X |
Profile Details
| NPI number | 1235301896 |
|---|---|
| LBN Legal business name | Aleta B. Gong-Tang, Od, Pc |
| DBA Doing business as | |
| Authorized official | Pratt, Todd |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 24th, 2008 |
| Last updated | Mar 24th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235301896 | NPPES |
| Arizona | Other | Z103102 | MEDICARE Z |
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