| Susana Bach Tang, OD | |
|
250 N See Vee Ln, Bishop, CA 93514-8130 | |
| (760) 873-3611 | |
| (760) 503-0266 |
| Full Name | Susana Bach Tang |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 250 N See Vee Ln, Bishop, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255059861 | NPI | - | NPPES |
| THP11576F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 35175 (California) | Primary |
| Provider Name | Toiyabe Indian Health Project Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659433191 PECOS PAC ID: 2668419813 Enrollment ID: O20050411000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Susana Bach Tang, OD 250 N See Vee Ln, Bishop, CA 93514-8130 Ph: (760) 873-3611 | Susana Bach Tang, OD 250 N See Vee Ln, Bishop, CA 93514-8130 Ph: (760) 873-3611 |
Dr. Fred William Carter Iii, OD Optometrist Medicare: Medicare Enrolled Practice Location: 293 Willow Street, Bishop, CA 93514 Phone: 760-872-7511 Fax: 760-872-2094 | |
Dr. Eric Ivars Richman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 293 Willow Street, Bishop, CA 93514 Phone: 760-872-7511 Fax: 760-872-2094 | |
Stuart Kiyomi Hiroyasu, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 459 W Line St, Bishop, CA 93514 Phone: 760-873-3611 Fax: 760-873-3612 | |
Eastern Sierra Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 293 Willow St, Bishop, CA 93514 Phone: 760-872-7511 Fax: 760-872-2094 | |
Dr. Joseph Ridenour, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 293 Willow St, Bishop, CA 93514 Phone: 760-872-7511 | |
Dr. Matthew Walden Earhart, O.D., MED. Optometrist Medicare: Medicare Enrolled Practice Location: 250 N See Vee Ln, Bishop, CA 93514 Phone: 760-873-3611 Fax: 760-873-3612 |